摘要
目的探讨对失地居民中糖尿病高危人群实施"三位一体"健康教育的干预效果。方法从失地居民中筛选出糖尿病高危者105例,按随机数字表法分为观察组和对照组。对照组进行常规教育,观察组进行以医院、社区、家庭联合的"三位一体"健康教育,干预1年后,分别测评空腹和餐后2 h血糖、甘油三酯、血压、体质量指数、腰围、健康行为等指标并进行评价。结果 "三位一体"健康教育后失地居民中糖尿病高危人群的健康行为明显加强,空腹和餐后2 h血糖、甘油三酯、血压、体质量指数及腰围显著改善,差异均有统计学意义(P<0.05)。结论对失地居民中糖尿病高危人群实施"三位一体"健康教育,在疾病早期进行综合干预,可使高危人群形成良好的健康行为,改善糖脂代谢异常,降低糖尿病的发生率。
Objective To explore the intervention effect of ＂three-in-one＂health education on glucose and lipid metabolism of high risk diabetic patients in landless farmers in Changzhou.Methods 105 high risk diabetic landless farmers were screened out and randomly divided into control group and experiment group. The patients in the control group received routine health education and the patients in the experiment group received ＂three-in-one＂health education that integrated the resources of hospitals,communities and families. Fasting plasma glucose（FPG）,postprandial and fasting blood glucose after 2 hours（P2 h PG）,triglyceride（TG）,blood pressure（BP）,body mass index（BMI）,waistline and health behavior were evaluated after one year of intervention. Results The health behavior,FPG,P2 h PG,TG,BP,BMI and waistline of high risk diabetic landless farmers were improved after the ＂three-in-one＂health education,which showed statistically significant（P〈 0.05）. Conclusion Comprehensive intervention for high risk diabetic landless farmers through ＂three-in-one＂health education can form better health behavior,improve glucose and lipid metabolism and decrease the morbidity of diabetes.
出处
《实用临床医药杂志》
CAS
2014年第20期28-31,共4页
Journal of Clinical Medicine in Practice
基金
江苏省常州市卫生局指导性项目(WZ201212)
关键词
失地居民
糖尿病高危人群
健康教育
糖脂代谢
landless farmers
high risk diabetic patients
health education
glucose and lipid metabolism
