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目的探讨社区随访对糖尿病患者增强健康知识及血糖控制的影响。方法选取2012年6月至2014年12月纳入沈阳市铁西区霁虹社区卫生服务中心管理的164例糖尿病患者作为研究对象,按随机数字表法将其分为观察组与对照组,各82例。对照组患者仅给予常规门诊治疗及宣教,观察组患者在对照组基础上实施随访干预,比较两组患者入组6个月后的空腹血糖(FPG)、餐后2 h血糖(2h PBG)、糖化血红蛋白(Hb Alc)水平及糖尿病健康知识掌握情况。结果干预后,观察组患者的FPG、2h PBG及Hb Alc水平均明显低于对照组,差异均有统计学意义(均P<0.05);观察组患者的糖尿病知识掌握率明显高于对照组,差异有统计学意义(P<0.05)。结论对糖尿病患者提供社区随访服务不仅能够提高患者对糖尿病防治的认知水平,还能有效改善其血糖水平。
Objective To investigate the effect of community follow-up on enhancing health knowledge and blood sugar control in diabetic patients. Methods A total of 164 patients with diabetes mellitus who were admitted to Shenyang City Tiexi District Guanghong Community Health Service Center from June 2012 to December 2014 were selected as study subjects and divided into observation group and control group according to random number table method example. Patients in the control group were treated only with routine outpatient treatment and mission education. Patients in the observation group were followed up on the basis of the control group. Fasting plasma glucose (FPG), postprandial 2-hour blood glucose (2h PBG) Glycated hemoglobin (Hb Alc) levels and diabetes health knowledge. Results After the intervention, the levels of FPG, 2h PBG and Hb Alc in the observation group were significantly lower than those in the control group (all P <0.05). The observation group’s diabetes knowledge rate was significantly higher than that of the control group, The difference was statistically significant (P <0.05). Conclusion Providing community follow-up service to patients with diabetes can not only improve their cognition of diabetes prevention and treatment, but also improve their blood sugar level effectively.