糖尿病社区干预对2型糖尿病患者血糖水平的影响

目的：探讨社区干预对2型糖尿病患者空腹血糖与餐后2 h血糖水平的影响。方法：收集2015年2型糖尿病患者100例，分为研究组和对照组各50例，对照组给予常规综合健康教育方式干预，研究组采取KTH糖尿病社区干预的健康教育模式，两组均干预3个月。比较干预前后空腹血糖与餐后2 h血糖水平以及患者的遵医行为变化。结果：在干预前两组空腹血糖、餐后2 h血糖差异无统计学意义（P＞0.05）。干预后，研究组空腹血糖、餐后2 h血糖显著低于对照组（P＜0.05）。两组干预前的按时复诊、规范服药、血糖自我检测、选择健康生活方式比较差异无统计学意义（P＞0.05）。干预后，研究组按时复诊、规范服药、血糖自我检测、选择健康生活方式的比例显著高于对照组（P＜0.05）。结论：KTH糖尿病社区干预有利于充分发挥健康教育在糖尿病治疗中的功能，值得社区推广应用。

Effect of diabetic community intervention on fasting blood glucose and postprandial 2 h blood glucose levels in patients with type 2 diabetes

Objective: To investigate the effect of community intervention on fasting blood glucose and postprandial 2 h blood glucose levels in patients with type 2 diabetes.Methods: In 2015, a total of 100 cases of type 2 diabetes mellitus were collected and divided into a study group and a control group with 50 cases each. The conventional integrated health education intervention was undertaken in the control group, and the mode of KTH diabetes health education community intervention was used in the study group. Both groups were intervened for three months. Fasting plasma glucose, postprandial 2 h blood glucose levels as well as the compliance behavior change of the patients were compared before and after the intervention.Results: Fasting blood glucose and postprandial 2 h blood glucose levels before the intervention had no signiifcant differences(P>0.05). After the intervention, fasting blood glucose, and postprandial 2 h blood glucose in the study group were signiifcantly lower than those in the control group(P<0.05). There were no signiifcant differences in timely referral, standardized medication, blood glucose self-testing and selection of a healthy lifestyle before the intervention between the two groups(P>0.05). After the intervention, the ratios of timely referral, standardized medication, blood glucose self-testing and selection of a healthy lifestyle in the study group were signiifcantly higher than those in the control group(P<0.05).Conclusion: KTH diabetic community intervention is beneifcial to give full play to the function of health education in the treatment of diabetes, which is worthy of popularization and application in the community.