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1、·742·现代预防医学2008年第35卷第4期ModernPreventiveMedicine,2008,Vol.35,NO.4文章编号:1003-8507(2008)04-0742-02中图分类号:R587.1文献标识码:A【健康与社会行为】社区糖尿病患者及糖尿病高危人群干预措施研究王利清,贾静源,王江敏摘要:[目的]通过对糖尿病患者及糖尿病高危人群进行非药物干预活动,改变不良的生活习惯,降低糖尿病并发症的危险因素水平,控制病情,减少并发症的发生,减轻病人医疗和生活负担,提高病人生活质量。[方法]对北京市海淀区两个社区按照实施方案中的标准筛选出糖尿病103人,糖尿病高危人群148人,其中
2、干预组134人,对照组117人,进行干预前后的对比分析。[结果]干预组糖尿病病人和高危人群的糖尿病知识知晓率有明显提高,差异有显著统计学意义(P﹤0.01),对照组提高不明显(P﹥0.05);高危人群不良行为的改变如限制钠盐摄入等,干预组效果好(P﹤0.05),对照组无明显改变(P﹥0.05)。[结论]糖尿病患者及高危人群采用非药物干预对于有效改变患者不良行为和心理,提高患者的KAP水平,建立健康的生活方式,从而减少并发症发生和提高患者生存质量有着积极的意义。关键词:糖尿病;高危人群;干预;社区RESEARCHONTHEINTERVENTIONSTUDYONDIABETICSINCOMMU
3、NITYANDHIGH-RISKGROUPOFDIABETESWANGLi-qing,JIAJing-yuan,WANGJiang-min.(HaidianDistrictCenterforDiseasePreventionandControl,Beijing100037,China)Abstract:[Objective]Tochangetheimproperlivinghabitofthediabeticpatientsandhighriskgroupbyconductingin-tervention,soastolowertheriskofdiabeticcomplications,
4、controlthediseasecondition,reducetheoccurrenceofcomplica-tions,meanwhile,tolightenpatient’sburden,improvetheirlivingqualities.[Methods]Inlinewiththestandardoftheim-plementationplanofstudyingtwocommunitiesfromHaiDianDistrictinBeijing,103diabeticpatientsand148highriskgroupcasesweresiftedout,whowerer
5、andomlydividedintointerventiongroupwith134peopleandcontrolgroupwith117people,soastocarryoutthecomparativeanalysisbetweenpre-interventionandpost-intervention.[Results]Totheinterventiongroupandthecontrolgroup,diabeticpatientsandhighriskgroup’sawarenessofdiabetesknowledgewasimprovedsignificantly(P﹤0.
6、01).Theinterventiongroupsawapparentchangeofimproperbehavior(P﹤0.05),suchastheintakeofsodiumsalt,whilethecontrolgrouprarelysaw.[Conclusion]Tothediabeticpatientsandhighriskgroup,non-medicineinterventionhavepositivesignificanceineffectivelyadjustingpatients’improperbehaviorandmentalstate,improvingthe
7、irKAPlevel,building-uptheirhealthylife-style,reducingcomplicationandimprovingpatient’slivingqualities.Keywords:Diabetesmellitus;Highriskgroup;Intervention;Community糖尿病是全球常见疾病,也是一种生活方式疾病。健康的方案中的标准筛选出糖尿病人41名,糖尿病高危7