引用本文: | 周英,范穗光,陈晓聪.一体化综合干预措施对2型糖尿病居民的影响[J].中国临床新医学,0,():-. |
| Zhou Ying,Fan Suiguang,Chen Xiaocong.一体化综合干预措施对2型糖尿病居民的影响[J].中国临床新医学,0,():-. |
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摘要: |
目的 通过对社区居民2型糖尿病患者采取干预措施,研究糖尿病社区干预的效果。方法 采用多阶段分层抽样的方法,随机抽取2012年1月至2013年12月在广州市华南农业大学社区建立居民健康档案时诊断为2型糖尿病且接受规范治疗的共患者798例。比较在实施干预措施后,相关代谢指标、遵医嘱行为和生活行为方式的转变情况。结果 干预后的糖化血红蛋白(HbA1c)6.94±0.92(t=5.207,P=0.036)、总胆固醇(TC)6.80±0.45(t=6.528,P=0.001)、甘油三酯(TG)2.33±0.56(t=8.681,P=0.001)均较对干预前低。差异有统计学意义。干预后的糖尿病治疗率99.00%高于干预前的77.82%( 2=174.625,P=0.001),服药依从性自干预前的60.90%提高到干预后的91.60%( 2=207.699,P=0.001),定期测血糖率从47.12%上升到87.59%( 2=297.298,P=0.001)。糖尿病知晓率从干预前的19.55%提高到干预后的87.97%( 2=751.406,P=0.001)。干预后的限盐率77.94%高于干预前的48.75%,( 2=146.500,P=0.001),控油率84.71%高于干预前的48.25%( 2=238.095,P=0.001)。 结论 由社区医院积极推动的社区糖尿病专业管理模式有效降低糖尿病社区居民的相关代谢指标,对转变其饮食习惯和生活方式有积极作用。 |
关键词: 2型糖尿病 社区 干预措施 |
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The effect of interventions measure to type 2 diabetes mellitus among community residents |
Zhou Ying1,2, Fan Suiguang, Chen Xiaocong
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1.South China Agricultural University Hospital;2.PRChina
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Abstract: |
Objective To analyze the effect of interventions measure to type 2 diabetes mellitus(T2DM) among community residents in GuangZhou. Methods 798 South China Agricultural University community residents in GuangZhou with new-found T2DM was recruited when Establish health files from 2012 to 2013. Results The HbA1c 6.94±0.92(t=5.207,P=0.036),TC 6.80±0.45(t=6.528,P=0.001) and TG 2.33±0.56(t=8.681,P=0.001) was statistically significant lower after control. The treatment rate was higher(99.00% vs 77.82%, 2=174.625, P=0.001). clinical compliance rate was higher(91.60% vs 60.90%, 2=207.699, P=0.001). the rate of diabetes recognition was higher(87.97% vs 19.55%, 2=751.406, P=0.001). the salt intake rate was statistically significant higher( 2=146.500, P=0.001). the oil intake rate was statistically significant higher( 2=238.095, P=0.001). Conclusion The interventions measure to type 2 diabetes mellitus(T2DM) was significant affective. |
Key words: type 2 diabetes mellitus community residents interventions measure |