社区综合干预对Ⅱ型糖尿病患者自我管理和疗效的影响

目的：评价Ⅱ型糖尿病患者通过社区综合干预疗法后对其自我管理能力和治疗效果的影响.方法将100例Ⅱ型糖尿病患者随机分为观察组和对照组,每组各50例,两组患者原治疗方案不变,观察组在维持原治疗方案的基础上进行为期10个月的社区综合干预.分别于干预前后进行糖尿病相关知识问卷调查及自我管理能力的测试,并检测空腹血糖和糖化血红蛋白等.结果综合干预10个月后,观察组有关糖尿病知识掌握情况、自我管理能力大大提高,与对照组比较差异具有统计学意义（P〈0.05）.观察组空腹血糖（FBG）、餐后2 h血糖（PBG）、糖化血红蛋白（HbAlc）干预前后比较差异具有统计学意义（P〈0.05）.结论社区综合干预可有效提高Ⅱ型糖尿病患者的糖尿病知识水平和自我管理能力,患者FBG,PBG,HbAlc控制较好,可提高Ⅱ型糖尿病患者的治疗效果.

Effect of Community Comprehensive Intervention on Patients with Type 2 Diabetesself-management Ability and Treatment

Objective To evaluate the community comprehensive intervention for patients with type 2 diabetes self-management ability and curative effect. Method 100 patients with type 2 diabetes were randomly divided into the observation group and the control group with 50 cases in each group,the two group in the same treatment and observation group implements community intervention measures for ten months at the same time. Two groups were observed before and after the intervention for diabetes related knowledge questionnaire and self-management ability,fasting blood glucose （ FBG）, meal after 2h blood glucose （ PBG）, glycated hemoglobin （ HbAlc）. Results Comprehensive intervention after 10 months, the FBG, PBG, HbAlc, diabetes knowledge, self-management ability of the observation group were significantly different with the control group （ P〈0 . 05 ） . Conclusion Comprehensive community intervention can effectively improve diabetes knowledge and self-management ability of patients with type 2 diabetes,FBG,PBG,HbAlc in observation group is better than control group,improve therapeutic effect of patients with type 2 diabetes.