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时间:2020-04-06
《社区慢性糖尿病患者干预效果观察.doc》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、社区慢性糖尿病患者干预效果观察椿树社区卫牛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区健康干预;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牛情况。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,两组比较差异具有统计学意义(PV0.05)。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
2、者,两组比较差异具有统计学意义(PV0.05)。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(PV0.05),并H并发症发牛率也低于对照组患者,比较差异具有统计学意义(PV0.05)。结论:慢性糖尿病患者进行社区健康干预可以改善患者牛活方式和牛活习惯,提高患者血糖治疗效果,降低患者的并发症发牛率。【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)9-0963-02Effectofcommunityinterventiononpati
3、entswithchronicdiabetes[Abstract]Objective:toanalyzeandcomparetheeffectoncommunityhealthinterventionforpatientswithdiabetes.Methods:120patientswererandomlydividedintotwogroups,theobservationgroup60casesusingcommunityhealthinterventiontherapyandthecontrolgroup60casest
4、akingroutinetreatment,monitoringthechangesconditionofpatientsofbloodglucoselevel.Thepatientswithfollow-uprecordedofbadbehaviortoimprovethesituationandcomplications.Results:Inobservationgroup,fastingglucose,postprandial2Hbloodglucoselevelsandglycatedhemoglobinvalueswe
5、relowerthanthecontrolgrouppatientlevel,withsignificantdifferencesbetweenthetwogroups(P<0.05).Theobservationgrouppatientscomplianeerateoffastingbloodglucoseand2hpostprandialbloodglucose,glycatedhemoglobinratewerehigherthanthepatientsinthecontrolgroup,withsignifican
6、tdifferencesbetweenthetwogroups(P<0.05).Theobservationgrouppatientscomplianeerateoffastingbloodglucoseand2hpostprandialbloodglucose,glycatedhemoglobinratewerehigherthanthepatientsinthecontrolgroup,withsignificantdifferencesbetweenthetwogroups(P<0・05)・Theobserva
7、tiongrouppatientsimprovethebadbehaviorofpatientswassignificantlyhigherthanthecontrolgroup,withsign讦icantdifferencesbetweenthetwogroups(P<0.05),andthecomplicationratewasalsolowerthanthepatientsinthecontrolgroup,withsignificantdifference(P<0.05).Conclusion:Patien
8、tswithchronicdiabetescommunityhealthinterventioncanimprovepatientlifestyleandlivinghabits,improvethetherapeuticeffectinpatientswith
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