糖尿病高危人群筛查和社区护理干预探索.PDFVIP

社区护理 Community Health Nursing 糖尿病高危人群筛查和社区护理干预探索 王玉美 孙健平 宁锋 宋鑫 张岩磊 汪韶洁 乔青 逄增昌 [ 摘 要] 目的：探讨护理干预措施在糖尿病高危人群筛查和随访中的应用效果。方法：使用糖尿病危险评分量表开展糖尿 病高危人群的筛查工作，并对高危人群进行为期3 年的护理干预，开展生活方式护理干预和健康教育管理工作，评估干预前后 居民糖尿病高危因素的知晓率以及相关健康指标。结果：194万居民中共筛查出糖尿病高危个体 465 348人。干预后，社区居民 糖尿病高危因素知晓率提高，差异有统计学意义(P0.01)；社区居民多数健康相关指标得到改善，差异有统计学意义（P0.05）。 结论：以社区为单位的高危人群个性化护理干预效果显著。开展社区糖尿病高危人群护理干预，可以延缓糖尿病和糖尿病前期 的发病进程，并提高高危人群生活质量。 [ 关键词 ] 糖尿病；高危人群筛查；社区护理 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2014.07.023 Screening for high-risk population of diabetes and strategies for diabetic community nursing / WANG Yumei, SUN Jianping, NING Feng, et al. // Department of Neurology, Dongying Branch Hospital, Shandong Provincial Hospital, Dongying, 257091 China /// Chinese Nursing Management-2014,14(7): 744-747 [Abstract] Objectives: To evaluate the effect of nursing prevention on high-risk population screening and follow-up. Methods: Diabetes risk score was used to screen and record the high-risk population. The screened high-risk population was followed up for three years and given the nursing intervention. The effects of prevention and education were estimated by the awareness of diabetes and physical changes. Results: Among 1.94 million screeners, a total of 465 348 high-risk individuals was recorded and received health education and nursing management. After nursing intervention, the awareness of diabetes knowledge was significantly higher than before (P0.01); Most health indicators among individuals have improved in 2009 compared with those in 2006 (P0.05). Conclusion: The strategy of individual nursing intervention on high-risk population could play a great role on the diabetes risk prevention in community. The community-based nursing model may delay or prevent the process of diabetes and pre-diabetes, thus improve the quality life of hig