社区慢性糖尿病患者干预效果观察.docVIP

精品论文 参考文献 社区慢性糖尿病患者干预效果观察 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，两组比较差异具有统计学意义（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＜0.05）。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）。结论：慢性糖尿病患者进行社区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）9-0963-02 Effect of community intervention on patients with chronic diabetes 【Abstract 】Objective: to analyze and compare the effect on community health intervention for patients with diabetes. Methods: 120 patients were randomly divided into two groups, the observation group 60 cases using community health intervention therapy and the control group 60 cases taking routine treatment, monitoring the changes condition of patients of blood glucose level. The patients with follow-up recorded of bad behavior to improve the situation and complications. Results: In observation group, fasting glucose, postprandial 2H blood glucose levels and glycated hemoglobin values were lower than the control group patient level, with significant differences between the two groups (Plt;0.05). The observation group patients compliance rate of fasting blood glucose and 2h postprandial blood glucose, glycated hemoglobin rate were higher than the patients in the control group, with significant differences between the two groups (Plt;0.05). The observation group patients compliance rate of fasting blood glucose and 2h postprandial blood glucose, glycated hemoglobin rate were higher than thepatients in the control group, with significant differences between the two groups(Plt;0.05). The observation group patients improve the bad behavior of patients was significantly higher than the control group, with significant differences between the two groups (Plt;0.05), and the co