北京市门头沟区社区2型糖尿病干预效果评价 |
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引用本文: | 周桂荣,周学林,张岩梅,宋丽君. 北京市门头沟区社区2型糖尿病干预效果评价[J]. 实用心脑肺血管病杂志, 2009, 17(12): 1035-1037 |
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作者姓名: | 周桂荣 周学林 张岩梅 宋丽君 |
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作者单位: | 北京市门头沟区疾病预防控制中心,102300 |
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摘 要: | 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。
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关 键 词: | 糖尿病 社区 干预 效果评价 |
Evaluation of Effectiveness of Intervention for Patients with Type 2 Diabetes in Mentougou Communities,Beijing |
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Affiliation: | ZHOU Gui-rong,ZHOU Xue-lin,ZHANG Yan-mei,et al.(Mentougou District Center for Disease Control and Prevention,Beijing 102300,China ) |
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Abstract: | 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. |
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Keywords: | Diabetes mellitus Community Intervention Eualuation of effectiveness |
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