基于信息化平台的社区人群糖尿病干预模式的构建和评价

发布时间：2018-06-11 21:15

本文选题：社区 + 糖尿病　；参考：《第三军医大学学报》2017年10期

【摘要】：目的以社区糖尿病前期人群为对象,以充分利用社会资源为目标,构建经济、适用的糖尿病行为干预新型模式。方法通过系统分析和德尔菲法建立针对糖尿病前期人群的行为干预项目;根据流行病学实验的方法,在重庆主城区慢病控制试点社区开展干预试验。将522例糖尿病前期患者随机分为试验组和对照组,根据"知-信-行"的行为干预理论,试验组对象在接受社区常规健康管理服务的基础上,增加新型行为干预项目,同时接受定期社区现场活动和信息化平台交流活动;对照组对象只接受常规社区健康管理。干预实施后,定期观察试验组对象行为变化情况;半年后比较两组的行为执行情况、糖尿病的发病率、身体测量指标和实验室检测指标的变化情况。结果从干预试验实施后的第4~24周,试验组各健康行为改变率均有不同程度的增加;半年后,试验组与对照组相比,除穴位按摩和以步代车行为外,所有要求健康行为执行强度和行为养成比例显著增加;试验组的糖尿病发病率为4.51%,对照组的糖尿病发病率为7.58%,两组糖尿病发病率差异无统计学意义(P0.05);与对照组相比,试验组BMI降低显著,但其他指标,如腰围、血压、血糖和糖化血红蛋白等变化差异无统计学意义(P0.05)。结论在现有社区慢病管理的基础上构建的糖尿病新型行为干预模式,从多个环节促进被干预者行为改变,有助于试验对象建立健康行为,提高研究对象的依从性,其在短期内已显示出降低体质量指数的效果。
[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.
【作者单位】：第三军医大学军事预防医学院军队流行病学教研室;重庆市双碑社区卫生服务中心;
【基金】：重庆市卫生和计划生育委员会资助项目(20141027)~~
【分类号】：R587.1

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