摘要
目的观察分析社区健康干预对糖尿病前期（PDM）患者的影响效果。方法选择2016年1月至2017年10月期间本院在社区通过血糖检测筛选出IGR状态诊断的患者79例，给予社区健康干预6个月，并比较社区健康干预前后的临床指标。结果干预后，PDM患者疾病知识知晓率、血压控制率、合理控制饮食、运动疗法、自我管理情况、采取防治手段、高盐膳食、饮酒及吸烟较干预前均有显著地改善（P〈0．05），PDM患者FBG、OGTT2h PG、HbA1c水平较干预前明显降低（P〈0．05），PDM患者TC、TG及LDL—C水平较干预前明显降低（P〈0．05），PDM患者身体状况、精神状况、情感状况、社会功能及总体健康评分均明显高于干预前（P〈0．05）。结论对PDM患者制订个性化的社区健康干预措施，能够有效改善不良生活方式和行为习惯，可以显著地改善其血糖、血脂水平，有效提高PDM患者QOL。
Objective To observe and analyze the effect of conlmunity health intervention on patients with pre- diabetes mellitus （PDM）. Methods From January 2016 to October 2017, 79 patients with IGR status diagnosed by blood glucose test in the community were selected. 79 patients received conmnmity health intervention for 6 months, and the clinical parameters before and after community health intervention were compared. Results The awareness rate of disease knowledge, blood pressure control rate, the rates of reasonable diet control, exercise therapy, self-management, prevention and treatment, high-salt diet, alcohol consumption, and smoking of patients with PDM significantly improved after community health intervention （P〈0.05）; the levels of FBG, OGTT2h PG and HbAlc significantly decreased （P〈0.05）; the scores of physical status, mental status, emotional status, social function, and the overall health score significantly increased （P〈0.05）. Conclusion Individualized community health intervention can effectively improve unhealthy lifestyles and behavioral habits of PDM patients, significantly improve their blood glucose and blood lipid levels, and effectively improve QOL.
作者
洪梅华
薛丽莉
Hong Meihua;Xue Lili(Tongji Rehabilitation Hospital,Foshan First People＇s Hospital,Foshan 528000,Chin)
出处
《国际医药卫生导报》
2018年第15期2281-2284,共4页
International Medicine and Health Guidance News
基金
佛山市科技计划项目（2016AB002941）
关键词
糖尿病前期
社区
健康干预
血糖
Pre- diabetes mellitus
Community
Health intervention
Blood glucose
