社区慢性糖尿病患者干预效果观察

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1、社区慢性糖尿病患者干预效果观椿树社区卫生服务中心全科北京100052【摘要】目的：对慢性糖尿病患者的社区健康干预效果进行分析比较。方法：120例患者按照随机数字法分为两组，观察组60例，采用常规治疗辅助社IX健康干预；对照组60例，采取常规血糖治疗，监控患者的血糖水平变化情况，随访记录患者的不良行为改善情况及并发症发生情况。结果：观察组患者的空腹血糖、餐后2h血糖值以及糖化血红蛋白值均低于对照组患者水平，两组比较差异只有统计学意义(P<0.05)。观察组患者的空腹血糖达标率与餐后2h血糖达标率以及糖化血红蛋白达标率均高于对照组患者，两组比较差异具有统计学意义(P<0.

2、05)。观察组患者不良行为改善的患者明显高于对照组，两组比较差异具有统计学意义(P<0.05),并且并发症发生率也低于对照组患者，比较差异具有统计学意义(P<0.05)o结论：慢性糖尿病患者进行社IX健康干预可以改善患者生活方式和生活习惯，提高患者血糖治疗效果，降低患者的并发症发生率。【关键词】糖尿病；社区；健康干预；临床观察【中图分类号】R473【文献标识码】B【文章编号】1674-8999(2015)9-0963-02Effectofcommunityinterventiononpatientswithchronicdiabetes【Abstract]Object

3、ive:toanalyzeandcomparetheeffectoncommunityhealthinterventionforpatientswithdiabetes.Methods:120patientswererandomlydividedintotwogroups,theobservationgroup60casesusingcommunityhealthinterventiontherapyandthecontrolgroup60casestakingroutinetreatment,monitoringthechangesconditionofpatien

4、tsofbloodglucoselevel.Thepatientswithfollow-uprecordedofbadbehaviortoimprovethesituationandcomplications.Results:Inobservationgroup,fastingglucose,postprandial2Hbloodglucoselevelsandglycatedhemoglobinvalueswerelowerthanthecontrolgrouppatientlevel,withsignificantdifferencesbetweenthetwog

5、roups(P<0.05).Theobservationgrouppatientscompliancerateoffastingbloodglucoseand2hpostprandialbloodglucose,glycatedhemoglobinratewerehigherthanthepatientsinthecontrolgroup,withsignificantdifferencesbetweenthetwogroups(P<0.05).Theobservationgrouppatientscompliancerateoffastingbloodg

6、lucoseand2hpostprandialbloodglucose,glycatedhemoglobinratewerehigherthanthepatientsinthecontrolgroup,withsignificantdifferencesbetweenthetwogroups(P<0.05).Theobservationgrouppatientsimprovethebadbehaviorofpatientswassignificantlyhigherthanthecontrolgroup,withsignificantdifferencesbet

7、weenthetwogroups(P<0.05),andthecomplicationratewasalsolowerthanthepatientsinthecontrolgroup,withsignificantdifference(P<0.05).Conclusion:Patientswithchronicdiabetescommunityhealthinterventioncanimprovepatientlifestyleandlivinghabits,improvethetherapeuticeffectinpatientswi