摘要
目的评价运动干预后糖尿病人群血糖和相关指标的控制效果。方法在项目执行初期、中期和后期分别为社区糖尿病人群进行免费的血糖、血压、体重监测、尿常规检测和相关体格检查,开展糖尿病防治知识讲座等多种形式的健康教育活动,针对患者具体情况进行运动指导,对控制饮食和运动干预无效者提供用药指导。结果经过1 a干预,每天至少运动1次、每次30 min的人数,由干预前的76.33%曾加到90.75%(x^2=47.17,P=0.000);平均每次活动时间,由63 min减少至51 min(F=11.52,P=0.000);适当运动的人群空腹血糖和餐后2 h血糖水平分别由(9.09±2.47)和(13.25±4.64)mmol/L下降到(7.67±2.33)和(11.32±4.16)mmol/L(均P=0.000);尿蛋白阳性检出率由19.38%下降到10.14%。结论在社区开展健康促进活动,对糖尿病患者提供运动指导,有利于血糖控制,减少并发症。
Objective To carry out comprehensive intervention on diabetes patients in the community, to evaluate the effectiveness of physical activity intervention on blood glucose and related index. Methods Free determination of blood glucose, blood pressure, body weight, routine urine profiles and so on were provided to the patients in the beginning, medium and end of the study. Meanwhile, health education activities, such as lectures on prevention and treatment of diabetes, were carried out, and directions or guidance of individual diet, physical activity and life style according to the patient＇s situation were given, and medication guidance to patients who was failed to non-medication interventions. Results After one year intervention, the number of the patients participating physical activity at least once a day and more than 30 minutes each time was increased. It was increased from 76.33% in the beginning to 90.75% at the end（ X^2=47.17, P=0.000 ）. The average of activity minutes per time was reduced from 63 minutes to 51 minutes（F= 11 .52, P=0.000）. The means of both fasting blood glucose and Postprandial blood glucose were reduced from 9.09mmol/L, 13.25mmol/L to 7.67mmol/L and 11.32mmol/L separately among the population with medium physical activities（F=26.65, P=0.000 and F=12.38, P=-0.000）. The positive rate of urine proteins also reduced from 19.38% to 10.14%. Conclusions Carrying out health promotion activities for diabetes patients in the community and providing their physical activity guidance will be good to the blood glucose control and complications reduction among them.
出处
《中国慢性病预防与控制》
CAS
北大核心
2009年第6期626-627,632,共3页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
天津市卫生局科研基金项目(05KYZ44)
关键词
社区
糖尿病
运动
血糖监测
尿蛋白
Community
Diabetes
Physical activity
Monitoring of blood glucose
Urinary protein
