糖尿病患者采取社区管理和综合防治方案的分析

Analysis of Community Management and Integrated Control Scheme in Patients with Diabetes Mellitus

目的 探讨社区管理和综合防治方案对糖尿病患者血糖控制及疾病认知的影响.方法 选取2012年8月～2013年7月对社区人群进行健康普查,检出的糖尿病患者378例,随机均分成对照组和干预组各189例.对照组给予常规干预,干预组在常规干预的基础上,再予以健康教育、饮食控制、心理干预、用药指导等一系列干预措施.共随访1年,比较两组病人空腹血糖、餐后血糖以及对疾病的认知情况.结果 1年后两组患者空腹和餐后血糖值均较基线水平明显降低(P＜0.01),且干预组血糖值显著低于比对照组(P＜0.01);餐后血糖低于对照组(P＜0.01).干预后,干预组患者在糖尿病的认识、症状、判定、危害、用药、防治、饮食及控制等健康知识掌握率方面,均明显优于对照组(P＜0.05).结论 采用糖尿病社区管理干预和综合防治方式,可更有效降低糖尿病空腹和餐后血糖水平,提高疾病认知,这将有助于改善糖尿病患者的预后.

Objective To explore the effect of community management and comprehensive control project on control blood sugar and disease cognition in patients with diabetes. Methods From August 2013 to July 2014, the health screening in the area of community population were carried out and 378 diabetic patients were detected, and were randomly divided into control group and intervention group. The control group was received routine intervention, based on which, the intervention group was given health education, diet, psychological intervention, medication guide and a series of interventions. A total of 1 years of follow-up, fasting blood glucose, postprandial blood glucose and the cognition status of disease of patients of two groups were compared. Results There was no significant difference between baseline blood glucose of patients in the two groups(P >0.05); 1 years later, fasting and postprandial blood glucose values of patients in the two groups were significantly lower than baseline(P<0.01), and the intervention group was significantly lower than glucose values of the control group(fasting blood glucose was(6.25±2.02) vs(8.97±1.45) mmol/L,P<0.01; Postprandial blood glucose was(8.10±3.03) vs(12.44±2.62) mmol/L, P<0.01).At the same time the disease cognition of patients in the interventions was better than that of control group. Conclusion The diabetes community management intervention and comprehensive prevention method, can effectively reduce the fasting and postprandial blood glucose level, improve the cognition of disease, which can help improve the prognosis of patients with diabetes mellitus.