作　　者： (陈春梅）;

机构地区： 深圳市光明新区人民医院长圳社康中心,广东深圳518006

出　　处： 《中国城乡企业卫生》 2017年第9期8-11,共4页

摘　　要： 目的分析社区医生干预对糖尿病治疗依从性和疗效的影响。方法选择2015年12月-2016年5月在深圳市光明新区人民医院长圳社康中心治疗的160例2型糖尿病患者为研究对象,随机分为观察组和对照组各80例,两组均接受常规糖尿病基础治疗,观察组增加社区干预措施,比较干预前及干预12个月后两组患者的空腹血糖(FBG)、餐后2 h血糖(P2hBG)、糖化血红蛋白(HbA_1c)水平、治疗依从性、治疗满意率、并发症发生率。结果干预12个月后,观察组依从率为96.30%(77/80),高于对照组的81.30%(65/80);干预后,两组FBG、P2hBG、HbA_1c水平明显低于干预前,且观察组明显低于对照组;观察组治疗满意度为(92.45±11.21)分,高于对照组的(83.51±13.54)分;差异均有统计学意义(P<0.05)。两组均未发生严重并发症。结论社区综合干预能够明显提高糖尿病患者治疗的依从性以及治疗效果,建议临床推广应用。 Objective To analyze the influence of community intervention on treatment compliance and curative effect of diabetes mellitus. Methods 160 cases of type 2 diabetes in Shenzhen Guangming New District People＇s Hospital Changzhen Community Health Service Center from December 2015 to May 2016 were selected as the research object,randomly divided into observation group and control group with 80 cases in each group. The two groups of subjects were treated with conventional basic treatment of diabetes,patients in the observation group increased community intervention. The levels of fasting blood glucose（FBG）,2h postprandial blood glucose（P2hBG） and glycosylated hemoglobin（HbA_1c）,and treatment compliance,treatment satisfaction rate,complication rate of the two groups before intervention and 12 months after the intervention were compared. Results After intervention for 12 months,the compliance rate of observation group was 96.30%（77/80）,which was higher than that of control group with 81.30%（65/80）;the FBG,P2hBG and HbA_1c levels of two groups after intervention were significantly lower than those before intervention,and these indexes of the observation group was significantly lower than those of the control group;the satisfaction rate of the observation group was（92.45±11.21） points,which was higher than that of the control group with（83.51±13.54） points;The differences were statistically significant（P〈0.05）;There were no serious complications in the 2 groups. Conclusion Community comprehensive intervention can obviously improve the compliance and treatment effect of diabetic patients,and can be popularized and applied.

关 键 词： 型糖尿病 社区干预 疗效分析 依从性比较