糖尿病的防治策略探讨

目的以社区综合防治为例，探讨糖尿病防治策略的具体实施：方法2011年7月至2012年7月对社区内100例2型糖尿病患者进行研究，按照随机对照的原则，将100例患者随机分为实验组和对照组，每组各50例，但实验组进行社区综合防治，对照组行常规干预。社区综合防治实施内容包括健康教育、糖尿病高危人群的管理以及糖尿病患者的管理。研究采取不同干预方法后两组患者在糖尿病防治知识掌握情况、患者的治疗依从性以及糖尿病病情控制效果方面的差异，并作统计分析。检验社区综合防治能否达到帮助患者控制病情和改善生活质量的目的。结果实验组各项评价指标均优于对照组，其差异均有统计学意义（P〈0．05）。结论以社区为中心，积极贯彻落实糖尿病三级预防措施，有效提高了患者对糖尿病防治知识的知晓程度和技能，促进患者实现了对糖尿病的自我管理，提高了患者的治疗依从性，迟到了帮助患者控制好病情并改善患者生活质量的目的。

Diabetes Prevention Strategies

Objective To explore the strategies and measures of community-based comprehensive prevention and control of diabetes. Methods 100 patients in our community from July 2011 to July 2012 were raridomly divided into two groups： group A （integrated control group） and group B （conventional intervention group）. Implementation of comprehensive prevention community included health education, diabetes management for high-risk patients and diabetes management. And then analyze whether there were significant differences of diabetes knowledge, patient adherence and effectiveness of control diabetes between two groups. Results Indicators in integrated control group were better than those in conventional intervention group, and these differences were statistically significant （P〈0.05）. Conclusions The implement of tertiary prevention of diabetes increase diabetes knowledge levels of patients, patient adherence and patient self-management, and achieve the goals of controlling of patient and improving quality of life.