中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2008年
6期
361-364
,共4页
张建陶%王亚龙%张叶香%姚杏娟%吴建方
張建陶%王亞龍%張葉香%姚杏娟%吳建方
장건도%왕아룡%장협향%요행연%오건방
糖尿病%社区卫生服务%干预性研究%农村卫生
糖尿病%社區衛生服務%榦預性研究%農村衛生
당뇨병%사구위생복무%간예성연구%농촌위생
Diabetes mellitus%Community health services%Intervention studies%Rural health
目的 观察对糖尿病患者进行综合干预的效果,为在农村社区中实施有效的干预措施提供依据.方法 抽取常州市武进区4个农村社区,对其中2个社区的糖尿病患者(173例)进行综合干预,2个社区作对照(142例).进行为期4年的社区综合干预.对干预组给予药物治疗、健康教育、饮食、运动以及生活行为指导;对照组仅给予药物治疗.结果 干预后干预组患者对空腹血糖正常值范围、糖尿病的主要危险因素、科学饮食与治疗方法的知晓率分别为90.8%、74.6%、89.6%与59.5%,认知水平明显高于对照组(均P<0.05),在饮食控制与规律运动方面的行为改变率分别为68.8%、58.4%,也高于对照组(均P<0.05).而干预后干预组患者的收缩压、舒张压、空腹血糖以及总胆固醇的平均水平分别为(130.6±10.4)mm Hg(1mm Hg=0.133 kPa)、(78.4±7.5)mm Hg、(6.2±3.1)mmol/L、(4.5±0.9)mmol/L,均低于对照组(均P<0.05).结论 综合干预措施对农村社区的糖尿病患者有明显的干预效果.
目的 觀察對糖尿病患者進行綜閤榦預的效果,為在農村社區中實施有效的榦預措施提供依據.方法 抽取常州市武進區4箇農村社區,對其中2箇社區的糖尿病患者(173例)進行綜閤榦預,2箇社區作對照(142例).進行為期4年的社區綜閤榦預.對榦預組給予藥物治療、健康教育、飲食、運動以及生活行為指導;對照組僅給予藥物治療.結果 榦預後榦預組患者對空腹血糖正常值範圍、糖尿病的主要危險因素、科學飲食與治療方法的知曉率分彆為90.8%、74.6%、89.6%與59.5%,認知水平明顯高于對照組(均P<0.05),在飲食控製與規律運動方麵的行為改變率分彆為68.8%、58.4%,也高于對照組(均P<0.05).而榦預後榦預組患者的收縮壓、舒張壓、空腹血糖以及總膽固醇的平均水平分彆為(130.6±10.4)mm Hg(1mm Hg=0.133 kPa)、(78.4±7.5)mm Hg、(6.2±3.1)mmol/L、(4.5±0.9)mmol/L,均低于對照組(均P<0.05).結論 綜閤榦預措施對農村社區的糖尿病患者有明顯的榦預效果.
목적 관찰대당뇨병환자진행종합간예적효과,위재농촌사구중실시유효적간예조시제공의거.방법 추취상주시무진구4개농촌사구,대기중2개사구적당뇨병환자(173례)진행종합간예,2개사구작대조(142례).진행위기4년적사구종합간예.대간예조급여약물치료、건강교육、음식、운동이급생활행위지도;대조조부급여약물치료.결과 간예후간예조환자대공복혈당정상치범위、당뇨병적주요위험인소、과학음식여치료방법적지효솔분별위90.8%、74.6%、89.6%여59.5%,인지수평명현고우대조조(균P<0.05),재음식공제여규률운동방면적행위개변솔분별위68.8%、58.4%,야고우대조조(균P<0.05).이간예후간예조환자적수축압、서장압、공복혈당이급총담고순적평균수평분별위(130.6±10.4)mm Hg(1mm Hg=0.133 kPa)、(78.4±7.5)mm Hg、(6.2±3.1)mmol/L、(4.5±0.9)mmol/L,균저우대조조(균P<0.05).결론 종합간예조시대농촌사구적당뇨병환자유명현적간예효과.
Objective To evaluate the impacts of comprehensive diabetes intervention to provide evidence for effective diabetic control in rural communities.Methods Diabetic patients from four communities at Wujin District of Changzhou City were selected.One hundred and seventy-three patients from two communities received comprehensive intervention,including medication therapy,diabetes education,and diet.exercise,and behavior instruction(intervention group);142 patients from the other two communities got medication therapy only (control group).All the participants were interviewed with structured questionnaire and phyrsical examination.The second epidemic investigation was conducted at 4 years to evaluate the effects of the intervention.Results At the end of the intervention,the awareness rates of normal fasting plasma glucose,major diabetes risk factors,healthy diet,and therapeutic strategies in the intervention group were 90.8%.74.6%,89.6%,and 59.5%,respectively,which were significantly higher than those in the control group (all P<0.05).For the intervention group,the rates of diet behavior or physical exercise change were 68.8% and 58.4%.respectively.which were much higher than those of the control group(all P<0.05).The average levels of systolic pressure,diastolic pressure,fasting plasma glucose,and total cholesterol were (130.6±10.4)mm Hg(1 mm Hg=0.133 kPa),(78.4±7.5)mm Hg,(6.2±3.1)mmol/L,and (4.5±0.9)mmol/L,respectively,in the intervention group,which were lower than those in the control group(all P<0.05).Conclusion Comprehensive intervention shows significant effects on rural community patients with diabetes.
