社区综合干预对糖尿病前期人群的效果观察

Effect of community comprehensive intervention on the treatment for prediabetes patients

目的观察社区综合干预对糖尿病前期人群的治疗效果。方法以2017年5月—2018年5月我社区卫生服务中心管理的125例糖尿病前期患者为研究对象,随机选取其中62例患者作为干预组,另外63例患者作为对照组。干预组进行为期12个月的社区综合干预,对照组采取常规治疗模式,对比2组干预前后血糖控制情况及对糖尿病的认知情况变化,并分析转归。结果经过12个月的干预,干预组患者的空腹血糖、餐后2 h血糖和糖化血红蛋白明显低于对照组(P<0.05),密西根糖尿病知识测验(DKT)量表评分显著高于对照组(P<0.05),糖尿病管理自我效能(C-DMSES)量表评分显著高于对照组(P<0.05);干预组中逆转为正常人的患者数量显著高于对照组,进展为糖尿病的患者数量显著低于对照组(P<0.05)。结论社区综合干预可提高糖尿病前期患者对自身疾病的认知,进而稳定血糖并改善其转归。

Objective To observe the effect of community comprehensive intervention on the treatment of pre-diabetes.Methods From May in 2017 to May in 2018,125 pre-diabetes patients who were managed by our center,were selected as the research subjects.Among them,62 patients were randomly selected as the intervention group and 63 patients as the control group.The intervention group received 12 months of comprehensive community intervention,while the control group received conventional treatment.The changes of blood glucose and the subjects’cognition of diabetes pre and post intervention were observed and the outcome was analyzed.Results After 12 months of intervention,The levels of fasting blood glucose,2h postprandial blood glucose and glycosylated hemoglobin in the intervention group were significantly lower than those in the control group(P<0.05).The DKT scale score of the intervention group was significantly higher than that of the control group(P<0.05).The c-dmses scale score of the ntervention group was significantly higher than that of the control group(P<0.05).The number of patients that was turned normal in the intervention group was significantly higher than that of the control group;the number of patients that was developed diabetes in the intervention group was significantly lower than the control group(P<0.05).Conclusion Community comprehensive intervention can improve pre-diabetic patients'awareness of their own disease,thereby stabilizing blood glucose and improving their outcome.