發(fā)布時(shí)間：2018-06-11 21:15

  本文選題：社區(qū) + 糖尿病��； 參考：《第三軍醫(yī)大學(xué)學(xué)報(bào)》2017年10期

【摘要】：目的以社區(qū)糖尿病前期人群為對(duì)象,以充分利用社會(huì)資源為目標(biāo),構(gòu)建經(jīng)濟(jì)、適用的糖尿病行為干預(yù)新型模式。方法通過(guò)系統(tǒng)分析和德?tīng)柗品ń⑨槍?duì)糖尿病前期人群的行為干預(yù)項(xiàng)目;根據(jù)流行病學(xué)實(shí)驗(yàn)的方法,在重慶主城區(qū)慢病控制試點(diǎn)社區(qū)開(kāi)展干預(yù)試驗(yàn)。將522例糖尿病前期患者隨機(jī)分為試驗(yàn)組和對(duì)照組,根據(jù)"知-信-行"的行為干預(yù)理論,試驗(yàn)組對(duì)象在接受社區(qū)常規(guī)健康管理服務(wù)的基礎(chǔ)上,增加新型行為干預(yù)項(xiàng)目,同時(shí)接受定期社區(qū)現(xiàn)場(chǎng)活動(dòng)和信息化平臺(tái)交流活動(dòng);對(duì)照組對(duì)象只接受常規(guī)社區(qū)健康管理。干預(yù)實(shí)施后,定期觀察試驗(yàn)組對(duì)象行為變化情況;半年后比較兩組的行為執(zhí)行情況、糖尿病的發(fā)病率、身體測(cè)量指標(biāo)和實(shí)驗(yàn)室檢測(cè)指標(biāo)的變化情況。結(jié)果從干預(yù)試驗(yàn)實(shí)施后的第4~24周,試驗(yàn)組各健康行為改變率均有不同程度的增加;半年后,試驗(yàn)組與對(duì)照組相比,除穴位按摩和以步代車行為外,所有要求健康行為執(zhí)行強(qiáng)度和行為養(yǎng)成比例顯著增加;試驗(yàn)組的糖尿病發(fā)病率為4.51%,對(duì)照組的糖尿病發(fā)病率為7.58%,兩組糖尿病發(fā)病率差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);與對(duì)照組相比,試驗(yàn)組BMI降低顯著,但其他指標(biāo),如腰圍、血壓、血糖和糖化血紅蛋白等變化差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論在現(xiàn)有社區(qū)慢病管理的基礎(chǔ)上構(gòu)建的糖尿病新型行為干預(yù)模式,從多個(gè)環(huán)節(jié)促進(jìn)被干預(yù)者行為改變,有助于試驗(yàn)對(duì)象建立健康行為,提高研究對(duì)象的依從性,其在短期內(nèi)已顯示出降低體質(zhì)量指數(shù)的效果。
[Abstract]:Objective to set up a new model of diabetes behavior intervention with the objective of the community prediabetes population to make full use of social resources, and to establish a new model of diabetes behavior intervention. Methods through systematic analysis and Delphy Fa, a behavioral intervention project for pre diabetes population was established, and the control of chronic diseases in the main city of Chongqing was controlled according to the methods of epidemiology. The pilot community carried out intervention tests. 522 prediabetes patients were randomly divided into the experimental group and the control group. According to the behavioral intervention theory of "knowledge trust and practice", the experimental group was added to the new behavior intervention project on the basis of the community routine health management service, and was connected to the regular community live activities and the information platform. The control group received only routine community health management. After the intervention, the behavior changes of the experimental group were observed regularly. After half a year, the behavior execution of the two groups, the incidence of diabetes, the physical measurement index and the laboratory test index were compared. The results were from week 4~24 after the implementation of the intervention test, and the experimental group was healthy. After half a year, after half a year, the experimental group and the control group, in addition to the acupoint massage and the behavior of the step vehicle, all required a significant increase in the execution intensity and behavior of the healthy behavior; the incidence of diabetes in the experimental group was 4.51%, the incidence of diabetes in the control group was 7.58%, and the incidence of diabetes in the two groups was poor. There was no statistical significance (P0.05). Compared with the control group, the experimental group BMI decreased significantly, but other indicators, such as waist circumference, blood pressure, blood sugar and glycated hemoglobin, had no significant difference (P0.05). Conclusion the new behavioral intervention model of glycosglycosemia, based on the current management of chronic disease in the community, promotes the intervention of the participants from multiple links. In order to change, it helps the subjects to establish healthy behaviors and improve the compliance of the subjects. It has shown the effect of reducing the body mass index in the short term.
【作者單位】： 第三軍醫(yī)大學(xué)軍事預(yù)防醫(yī)學(xué)院軍隊(duì)流行病學(xué)教研室;重慶市雙碑社區(qū)衛(wèi)生服務(wù)中心;
【基金】：重慶市衛(wèi)生和計(jì)劃生育委員會(huì)資助項(xiàng)目(20141027)~~
【分類號(hào)】：R587.1

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