社区糖尿病患者预防感染知信行现状调查及干预效果分析

Investigation on the KABP current situation of prevention of diabetes in community and the effect of intervention

目的:综合分析社区糖尿病患者预防感染知信行现状及需求调查。方法:用整群抽样的方法,对某社区2017年1~11月共9480名居民进行糖尿病筛查,其中846名糖尿病患者,对其采用回顾性分析的方式,对患者社区感染的发生率、感染部位;发生感染的主要危险因素及对预防感染的相关知识的知晓情况进行分析,对糖尿病患者进行社区模式干预。对比进行干预前后患者感染发生率、预防感染相关知识的知晓率等。结果:患病人群的感染情况与未患病人群比较差异无统计学意义(P>0.05);年龄、体重指数、吸烟情况、家族史等因素均属于糖尿病的危险因素;正常人群对预防感染相关知识的知晓率与糖尿病患者比较差异无统计学意义(P>0.05);干预后糖尿病患者发生感染的情况显著低于干预前,差异均有统计学意义(均P<0.05)。结论:对社区糖尿病患者进行预防感染的知识干预,降低糖尿病患者发生社区感染的危险因素,减少糖尿病患者感染并发症的发生,提高生活质量,延长生存期。

Objective To comprehensively analyze the KABP current situation and needs of prevention in community diabetes patients.Methods Using the method of cluster sampling,a total of 9480 residents in a community were screened for diabetes from January to November 2017,among whom 846 were diabetic patients.The incidence of commanity infection,the site of infection,the main risk factors of infection and the knowledge of infection prevention were analyzed by retrospective analysis.Community-based intervention was carried out in patients with diabetes.The incidence of infection and the awareness rate of infection-related knowledge before and after intervention were compared.Results There was no statistically significant difference between the infected population and the uninfected population(P>0.05).Age,body mass index,smoking status,family history and other factors were risk factors for diabetes.There was no significant difference in the awareness rate of infection-related knowledge between normal population and diabetic patients(P>0.05).The incidence of infection in diabetic patients after intervention was significantly lower than that before intervention,and the difference was statistically significant(P<0.05).Conclusions The knowledge intervention of prevention of infection in community diabetic patients can reduce the risk factors of community infection in diabetic patients,reduce the incidence of infection complications in diabetic patients,improve the quality of life and prolong the survival period.