摘要
目的探讨在社区对糖尿病患者进行有效干预的方法,减少糖尿病并发症的发生,提高社区糖尿病患者生活质量。方法对社区内170例糖尿病患者随机建立观察病历,有针对性进行医疗干预,同时建立健康教育大课堂、墙报宣传,普及糖尿病防治知识。多项指标干预2年后与干预前对比。结果干预前患者平均空腹血糖(7.40±3.14)mmol/L,餐后2h血糖(8.50±2.65)mmol/L,糖化血红蛋白(7.50±1.18)%,急诊率10.59%,住院率6.47%;干预后患者平均空腹血糖(6.00±1.32)mmol/L,餐后2 h血糖(7.10±2.40)mmol/L,糖化血红蛋白(6.50±0.91)%、急诊率4.17%、住院率3.57%;干预前、后两组之间对比,差异有统计学意义(P<0.05)。结论在社区对糖尿病患者进行有效干预和健康教育,减少了患者的急诊率、住院率,提高了患者的生活质量,取得了良好社会效益和经济效益。
Objective To study the effectiveness of community based intervention for patients with diabetes.Methods A comprehensive community based diabetes intervention strategy was implemented for 170 patients with diabetes in Beijing.The approach of diabetes intervention included a long-term follow-up of medical record,daily or regularity treatment or nursing care for high-risk patients if it was necessary,free presentation for related health knowledge,providing published materials and other reliable sources of diabetes prevention and care information,etc.Results The levels of blood sugar and glycosylated hemoglobin decreased significantly in the patients after the comprehensive intervention（P0.05）.The hospitalization and emergency treatment rates of the patients were also significantly decreased（P0.05）.Conclusion The community based diabetes intervention was effective in decreasing the hospitalization and emergency treatment rates of diabetic patients.
出处
《中国预防医学杂志》
CAS
2010年第11期1136-1137,1146,共3页
Chinese Preventive Medicine
关键词
社区
糖尿病
经验
效果
Diabetes
Community
Intervention
