北京市门头沟区社区2型糖尿病干预效果评价

目的评价社区干预对糖尿病人知识、态度、行为和病情控制的影响,减少或减缓糖尿病肾病等并发症的发生。方法采用整群随机抽样法在门头沟区选择2个社区的111例2型糖尿病患者,随机确定1个为干预社区,另1个为对照社区,1年后重新调查体检。结果（1）干预组糖尿病肾病早期检测指标知晓率、控制体重率和定期测量血糖率均高于对照组,差异均有统计学意义（χ^2=24.913、6.89、7.418,P〈0.01）。按医嘱服药方面,两组差异无统计学意义（χ^2=1.14,P=0.286）。（2）干预组干预后,经配对t检验,空腹血糖、糖化血红蛋白、血尿酸在干预前后差异有统计学意义（t=2.138、7.506、2.183,P〈0.05）。对照组体重指数（BMI）、收缩压、血肌酐有所上升,经配对设计t检验BMI和收缩压差异有显著性（t=-2.047、-2.850,P〈0.05）。结论干预后病人在知、信、行三方面有所提高,干预需要长期、持续进行。

Evaluation of Effectiveness of Intervention for Patients with Type 2 Diabetes in Mentougou Communities,Beijing

Objective To evaluate the influence of intervention on knowledge,attitude,behavior and status of diabetic control in community patients with type-2 diabetes.Slow down or reduce the incidence of diabetic kidney dicease.Methods One hundred and eleven patients with type-2 diabetes were randomly selected from the two communities in Mentougou District,Beijing,one with intervention and the other as control.All the subjects were interviewed with structured questionnaire and physically checked-up.The second cross-sectional survey was preformed one year after intervention,also including questionnaire interview and physical checks-up.Results （1）diadetic kidney disease awareness indicators of early detation,weight control and measuring blood glucose regularly were significantly higher in experimental group than that in control（χ^2=24.913,6.89,7.418,P〈0.01）,there is no remarkable difference between in what respect take the medicine according to the instruction（χ^2=1.14,P=0.286）.（2）After one year,fasting blood-glucose and glycosylated hemoglobin and blood uric acid there were significant reduced in experimental group to Paired-comparison T test（t=2.138、7.506、2.183,P0.05）.Wweight index and systolic pressure and serum creatinine There were significant difference between before intervention than after intervention in control group（t=-2.047,-2.850,P〈0.05）.Conclusion Knowledge,attitude and behavior of diabetic patients can be improved after community intervention,which should be lasted for a long term.