社区糖尿病患者健康体检检验结果分析和健康行为干预效果研究.docVIP

社区糖尿病患者健康体检检验结果分析和健康行为干预效果研究 　　[摘要]目的 分析社区糖尿病患者健康体检检验结果并探讨社区健康行为干预的效果。方法 随机选取2015年12月～2016年12月我中心体检的96例糖尿病患者的健康体检检验结果进行回顾性分析，随机分为对照组和观察组，各48例。对照组采用常规干预，观察组给予社区健康行为干预，比较两组的治疗效果。结果 在96例糖尿病患者中，有90例尿糖?z测阳性，另有6例尿糖呈阴性，但空腹血糖值8.8 mmol/L。在90例尿糖阳性的患者中，86例有不同程度的血糖增高，仅有4例血糖值正常。经过社区健康行为干预后，观察组的糖尿病相关防治知识知晓率和遵医行为依从性均显著高于对照组，差异有统计学意义（P0.05）。观察组干预后的空腹血糖、餐后2 h血糖、糖化血红蛋白、体重指数、三酰甘油、总胆固醇水平低于对照组干预后，差异有统计学意义（P0.05）。结论 尿糖阴性或弱阳性的病例还需结合血糖确定是否患病，血糖结合尿糖测定可以对糖尿病患者病情进行动态观察。社区健康行为干预提高了患者对糖尿病知识的了解和遵医行为的依从性，促使其养成了良好的生活方式，有效提高了糖尿病的治疗效果。 　　[关键词]糖尿病；健康行为干预；健康体检；临床效果 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 1674-4721（2017）05（c）-0136-04 　　[Abstract]Objective To analyze the examination results in community diabetic patients and to explore the effect of community health behavior intervention.Methods 96 physical examination results of diabetes mellitus in our center from December 2015 to December 2016 were randomly selected and retrospectively analyzed，and all patients were randomly divided into the control group and the observation group，48 cases in each group.The control group was given routine intervention，and the observation group was given community health behavior intervention.The therapeutic effect between the two groups were compared.Results In 96 cases with diabetic mellitus，90 cases of patients with urine test were positive，6 cases of urine were negative，but the fasting blood glucose levels were higher than 8.8 mmol/L.In patients with positive urine in 90 cases，86 cases had different levels of blood glucose，blood glucose of normal value only had 4 cases.Through community health behavior intervention，the awareness rate of diabetes related prevention and treatment and the compliance behavior of medical compliance in the observation group was significantly higher than that in the control group，with significant difference （P 　　[Key words]Diabetes mellitus；Health behavior intervention；Health examination；Clinical effect 　　近年来糖尿病的发病率在逐年上升，社区老年糖尿病患者明显增多[1]。糖尿病的显著特征是血浆葡萄糖水平增高，其是内分泌系统的慢性疾病[2]。糖尿病需要长年服药以控制病情