摘要
目的探讨个体化综合干预在糖尿病前期人群中的实施及效果。方法按照随机数法将160名糖尿病前期人群随机分为干预组和对照组,每组80名,干预组人群实施12个月的个体化综合干预,对照组人群采用常规干预,比较2组人群的干预效果。结果干预后,干预组人群对糖尿病前期(45.00%)、体重/体质指数(41.25%)、糖尿病的危险因素(68.75%)、糖尿病的危害(71.25%)、糖尿病的早期症状(73.75%)、控制饮食的重要性(83.75%)、合理运动的重要性(85.00%)、定期监测血糖的重要性(87.50%)等知识知晓率均高于对照组(P<0.05);干预组人群控制饮食(85.00%)、控制体重(83.75%)、合理运动(86.25%)、定期监测血糖(88.75%)、保持良好心态(82.50%)等自我管理行为均高于对照组(P<0.05);干预组人群空腹血糖(5.54±0.43)mmol/L、餐后2 h血糖(7.13±0.94)mmol/L均低于对照组(P<0.05);干预组人群的糖尿病转化率(22.50%)低于对照组人群(41.25%)(P<0.05)。结论个体化综合干预可以提高糖尿病前期人群的疾病相关知识和自我管理行为,使糖尿病前期人群餐后2 h血糖和糖尿病转化率下降。
Objective To evaluate the effect of individualized comprehensive intervention in pre-diabetic population. Methods According to random numbers method, 160 pre-diabetic participants were randomly divided into intervention group and control group with 80 subjects in each group. Participants in control group received routine health education, while participants in intervention group received individualized comprehensive intervention with in 12 months. The intervention effects of the two groups were compared. Results After the intervention, the awareness rates of knowledge on pre-diabetes （45.00%） , body mass of index （41.25%） , risk factors of diabetes mellitus （68.75%） , harm of diabetes （71.25%） , early symptoms of diabetes mellitus （73.75%） , importance of diet control （83.75%） , importance of reasonable exercise （ 85.00% ） , importance of monitor glucoseregularly （ 87.50% ） in intervention group were significantly higher than that in control group （ P 〈 0. 05 ）. Theself-management behaviors such asdiet control （85.00%）, weight control （ 83.75% ）, reasonable exercise （86. 25% ） , monitor glueoseregularly （88.75%） and keeping an open mind （82. 50% ） inintervention group were significantly higher than that of control group （ P 〈 0. 05 ）. The concentrations of fasting glucose （ 5.54 ± 0. 43） mmol/L and 2-hour postprandial plasma glucose （7. 13 ±0. 94） mmol/L in intervention group were significantly lower than that in control group （P 〈0. 05）. Compared to control group （41.25%） , the conversion rate of diabetes were lower in intervention group （22. 50% , P 〈 0. 05）. Conclusion The individualized comprehensive intervention ean enhance the pre-diabetic knowledge and self-management behavior, and decrease the 2-hour postprandial plasma glucose and diabetes progression rate.
出处
《中国健康教育》
北大核心
2017年第2期154-157,共4页
Chinese Journal of Health Education
基金
【基金项目】北京市科学技术委员会北京糖尿病前期逆转研究(D0905003040131)
关键词
糖尿病前期
知识
自我管理行为
综合干预
效果
Pre-diabetes
Knowledge
Self-management behavior
Comprehensive intervention
Effect
