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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

20

期数:

2019年03期

页码:

351-353

栏目:

论　著

出版日期:

2019-04-10

文章信息/Info

Title:

Effect of community intervention on disease cognition and blood glucose control status in patients with diabetes mellitus

作者:

周克文

山东省胶州市疾病预防控制中心，山东 青岛 266300

Author(s):

ZHOUKe-wen

ShandongJiaozhou DiseasePreventionandControlCenter,Qingdao,Shandong266300,China Correspondingauthor:ZHOUKe-wen,E-mail:3475015302@qq.com

关键词:

社区干预; 糖尿病; 疾病认知; 血糖控制

Keywords:

Community intervention;  Diabetes;  Disease cognition;  Blood glucose control

分类号:

R587.1

DOI:

-

摘要:

目的 探讨社区干预对糖尿病患者疾病认知和血糖控制状况的影响。方法 选取山东省胶州市疾病预防 控制中心80例糖尿病患者作为观察对象，通过随机数表法将其分为观察组和对照组，每组40例。对照组患者予 以社区内常规用药指导，观察组患者则在对照组的基础上予以社区综合干预措施。对比两组患者1年后的糖尿病 认知情况与血糖控制情况。结果 两组经社区干预后，对照组的空腹血糖为（7.08±0.36）mmol/L、餐后2h血 糖为（8.36±0.54）mmol/L、糖化血红蛋白为（8.65±0.64）mmol/L，观察组的空腹血糖为（6.31±0.41）mmol/L、 餐后2h血糖为（7.79±0.47）mmol/L、糖化血红蛋白为（6.41±0.58）mmol/L，观察组的空腹血糖、餐后2h血 糖以及糖化血红蛋白均明显低于对照组（P<0.05）。观察组的密西根糖尿病知识测验（DKT）量表评分为 （43.25±2.47）分，显著高于对照组的（36.41±2.31）分（P<0.05）。对照组的糖尿病管理自我效能（C-DMSES）量表评分为（135.69±5.74）分，显著低于观察组的（173.25±5.25）分（P<0.05）。观察组的满意率 为95.00%，显著高于对照组的80.00%（P<0.05）。结论 社区干预可显著提高糖尿病患者对自身疾病的认知， 进而帮助其控制病情、稳定血糖。

Abstract:

Objective To investigate the effect of community intervention on disease cognition and blood glucose control status in diabetic patients. Methods A total of80 diabetic patients selected from Jiaozhou Disease Prevention and Control Center were as observation objects. They were divided into observation group and control group by random number table method, 40 cases in each group. The patients in control were given the guidance of routine medication in the community. The patients in observation group were given community comprehensive intervention on the basis of routine medica-tion in the community. Diabetes cognitive status and blood glucose control were compared between the two groups after treatment for one year. Results After community intervention, the fasting blood glu-cose, the postprandial blood glucose, the glycosylated hemoglobin in the control group was（7.08± 0.36）mmol/L,（8.36±0.54）mmol/L,（8.65±0.64）mmol/L, respectively, which in the observation group was（6.31±0.41）mmol/L,（7.79±0.47）mmol/L,（6.41±0.58）mmol/L, respectively, with sta-tistical difference （P<0.05）. The DKT score of observation group was （43.25±2.47）, which was significantly higher than that of control group（36.41±2.31）（P<0.05）. The C-DMSES score of the control group was（135.69±5.74）, which was significantly lower than that of the observation group（173.25±5.25）（P<0.05）. The satisfaction rate of the observation group was 95.00%, which was sig-nificantly higher than that of the control group（80.00%）（P<0.05）. Conclusion Community inter-vention can improve the cognition of diabetes mellitus patients and help them to control state of illness and stabilize blood sugar level.

参考文献/References:

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备注/Memo

备注/Memo:

作者简介：周克文，大学本科，副主任医师，主要从事慢性病防治、学校卫生、免疫规划管理等工作 通信作者：周克文，E-mail：3475015302@qq.com

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更新日期/Last Update: 2019-03-28