2016—2018年上海市新泾社区糖尿病眼病干预效果分析

目的分析2016—2018年上海市新泾社区糖尿病眼病的社区干预效果。方法依托"上海市糖尿病眼病综合防治服务模式建立"项目, 以2016年上海市新泾社区未患糖尿病视网膜病变(DR)的且接受社区糖尿病眼病干预的糖尿病患者为研究对象, 以DR发病率、视力、对DR的认知度为研究指标, 分析糖尿病眼病的社区干预效果。结果共纳入糖尿病患者537例, 经社区干预, DR的发病率为7.6%, 糖尿病病程(OR= 1.065)、糖化血红蛋白(OR= 1.090)是DR发病的危险因素。干预前后单眼低视力、双眼低视力的患者分别为27例(5.0%)、8例(1.5%)和19例(3.5%)、7例(1.3%)。干预后糖尿病患者对DR防治知识的认知度明显提高, 定期到眼科接受检查、增强饮食控制以及体育锻炼的比例均有升高。结论对糖尿病眼病进行社区干预, 可能有利于提高糖尿病患者对糖尿病眼病的认知水平, 降低DR的发病率。

Analysis of community intervention effects for diabetic eye diseases in Shanghai Xinjing community from 2016 to 2018

Objective To analyze the effects of community-based interventions for diabetic eye diseases in Xinjing community,Shanghai from 2016 to 2018.Methods Based on the project of“Establishment of Service Model for Comprehensive Prevention and Treatment of Diabetic Eye Diseases in Shanghai”,the participants were not suffering diabetic retinopathy(DR)in Xinjing community in 2016 before interventions and received community-based interventions for diabetic eye diseases.The incidence of DR,visual acuity and awareness of DR were used as evaluation indicators to analyze the effects of interventions for diabetic eye diseases in the community.Results A total of 537 patients were included in this study,the incidence of DR among diabetic patients in Xinjing community was 7.6%after interventions.The duration of diabetes(OR=1.065)and HbA1c(OR=1.090)were the risk factors of DR.Before and after the interventions,the patients with monocular low vision and binocular low vision were 27 cases(5.0%),8 cases(1.5%),19 cases(3.5%)and 7 cases(1.3%)respectively.After interventions,the awareness on the prevention and treatment of DR increased significantly,and the proportion of regular visits to ophthalmology examination,diet control and physical exercise also increased significantly.Conclusion Community-based interventions for diabetic eye diseases are helpful to improve the awareness of DR prevention and control,reduce the incidence of DR.