社区糖尿病教育对提升糖尿病病人治疗依从性的价值

目的分析社区糖尿病教育对提升糖尿病患者治疗依从性的价值。方法选取收治的82例糖尿病患者,随机分为对照组40例和观察组42例,对照组行常规治疗和常规护理干预,观察组在对照组基础上+社区糖尿病教育干预,比较两组血糖、糖化血红蛋白水平和治疗依从性。结果观察组干预后空腹血糖、糖化血红蛋白水平均低于对照组,差异有统计学意义(P<0.05);观察组干预后治疗依从性评分高于对照组,差异有统计学意义(P<0.05)。结论社区糖尿病教育能提升糖尿病患者治疗依从性,降低空腹血糖及糖化血红蛋白水平。

社区糖尿病教育对糖尿病控制的影响

糖尿病的发生率呈日益上升趋势,已成为继心脑血管痰病后威胁人类健康的常见疾病之一,其并发症可致死、致残并造成巨大的医疗开支.

社区健康教育门诊对糖尿病患者遵医行为的影响

目的:探讨在社区开展健康教育门诊对糖尿病患者遵医行为的影响。方法:将某社区糖尿病患者59例随机分为干预组和对照组,干预组在给予与对照组相同的常规护理同时,建立健康教育门诊,1年后采用自制问卷对两组患者的遵医行为进行比较;同时两组患者每月采手指血检测空腹血糖,比较两组空腹血糖平均值和空腹血糖下降水平。结果:①参加健康教育门诊后,干预组空腹血糖平均值明显低于对照组;干预组空腹血糖值平均下降水平明显高于对照组(P<0.05)。②干预组的遵医行为问卷得分明显高于对照组(P<0.05)。结论:在社区开展健康教育门诊可以明显提高糖尿病患者的遵医行为。

老年2型糖尿病患者社区管理模式及效果观察

目的:对老年2型糖尿病患者社区管理模式进行分析,并对其开展效果进行观察和分析。方法:随机抽取所在社区90例2型糖尿病老年患者作为本次课题研究的探讨对象,根据社区管理模式对患者分对照组和观察组,对照组患者接受常规社区管理模式,观察组患者在此基础上接受建立糖尿病教育小组管理,比较两组患者自我管理行为。结果:观察组自我管理行为明显优于对照组,两组比较差异均有统计学意义(P<0.05)。结论:糖尿病教育小组社区管理模式应用在社区老年糖尿病患者血糖控制中,效果显著,且能够显著提高患者自我管理水平,对老年患者控制血糖水平、减少并发症具有重要意义,值得在实践工作中进行广泛推广。

做健康、快乐、和谐社区的“领头军”——北京蒲黄榆社区卫生服务中心主任张志军谈如何打造品牌社区

这一年是2008年。张志军被调到北京丰台区蒲黄榆社区卫生服务中心，当时，丰台区有句传言，“东西两滩泥，王佐蒲黄榆”，回忆当时接手中心时的情景，张志军形容为“一潭死水”。然而，经过4年的创新管理，蒲黄榆社区卫生服务中心发生了惊人的变化：成立社区糖尿病教育学校，提供感动式服务，建立身心病房。

A comprehensive health education plus monitoring support program for older adults with knee osteoarthritis coexisting with overweight and type 2 diabetes

Objectives:To examine the patient outcomes of a comprehensive health education plus village health volunteer monitoring support program on older adults with knee osteoarthritis who are overweight and have type 2 diabetes.Methods:Quasi-experimental,two-group,pretest-posttest design was applied.Using random geographic cluster sampling,older adults who met the inclusion criteria were assigned to two groups,62 in the intervention group and 71 in the control group.The intervention group received the comprehensive health education plus village health volunteer monitoring support program.The control group received only the comprehensive health education program.Study outcomes,including blood glucose level,knee pain and range of motion,body weight,physical ability(Timed Up and Go Test),fatigue,depressive symptoms,quality of sleep,and quality of life,were assessed at baseline,3 months,and 6 months after enrollment and analyzed using descriptive statistics and multivariate analysis of variance.Results:One hundred and ten participants completed the study(55 participants in each group).Most patient outcomes in the two groups showed general improvement with statistical significance(P<0.001):pain decreased,physical ability improved,less depressive symptoms and fatigue,quality of life and sleep improved.The interaction effect(the group and time)demonstrated statistically significant differences between the intervention and control groups on pain,knee range of motion,and fatigue according to each time follow-up(P<0.001).Conclusions:The comprehensive health education plus village health volunteer monitoring support program promotes good patient outcomes in this population.The integrated health education resource and support for older adults with knee osteoarthritis and type 2 diabetes is an effective,non-surgical treatment that highlights professional nursing roles and non-professional rolesdvillage health volunteers.Nurses should consider implementing a health education plus monitoring support program to mitigate the effects of chronic diseases and improve patients’quality of life.