社区不同干预模式对糖尿病患者生活质量及血压、血糖值影响的评价

Evaluation of the Effect of Different Intervention Models on the Life Quality,Blood Pressure and Blood Glucose Level among Diabetic Patients in Community

目的探讨在糖尿病患者中开展健康教育和患者自我管理活动对于其生活质量、血压、血糖三方面的影响。方法按照随机对照试验研究进行设计,以社区为研究地点,将自愿参加该项目的210名糖尿病患者随机分为健康教育组(n=104)和自我管理组(n=106),在基线时和干预后的2个时间段开展问卷调查,比较两组生活质量指标得分、血压值、血糖值干预前后变化情况。结果9项指标里,健康教育组干预后3项指标(总体健康状况、工作和日常活动、空腹血糖值)较干预前显著改善(P<0.05),自我管理组干预后5项指标(总体健康状况、收缩压、舒张压、空腹血糖值、餐后血糖值)较干预前有改善(P<0.05);对两组的患者进行比较,健康教育组1项指标(工作和日常活动)得分有较大程度改善(P<0.05)。结论两种干预模式对糖尿病患者的病情控制都有积极的影响,且优势不同,患者自我管理的收缩压、舒张压、餐后血糖值三方面的改善效果较优。

Objective To explore the effects of different models of intervention on the quality of life,blood pressure and blood glucose in diabetic patients.Methods According to randomized controlled trial study design,210 diabetic patients in the community were randomly divided into health education group(n=104)and self-management group(n=106).At baseline and after the intervention,quality of life index score,results of blood pressure and blood glucose were collected by questionnaire survey and compared within the group and between groups.Results Among the 9 indicators,3 indicators(overall health status,work and daily activities,fasting blood glucose level)in the health education group were improved after intervention(P<0.05),and 5 indicators(overall health status,systolic blood pressure,diastolic blood pressure,fasting blood glucose level,postprandial blood glucose level)in the self-management group were improved after intervention(P<0.05).Comparing the two groups of patients,the score of one index(work and daily activities)in the health education group was significantly improved(P<0.05).Conclusion The two intervention models have positive effects and different advantages on the disease control of diabetic patients.The patients in the self-management group have better improvement effects in systolic blood pressure,diastolic blood pressure and postprandial blood glucose.