摘要
目的:探讨通过"知己健康管理"对改变糖尿病患者不良生活方式所产生的效果。方法:对96例清华园社区糖尿病患者进行1年的知己健康管理,采用自身对照方法对其管理前后的生活方式、血糖、糖化血红蛋白、血脂、血压等改变进行比较。结果:管理后各项指标均得到了明显改善。患者体重平均下降2.56 kg,体重指数平均降低1.09,腰围平均减少3.39 cm,收缩压平均降低4.91 mm Hg(1 mm Hg=0.133 kPa),舒张压平均降低3.13 mm Hg,空腹血糖平均水平下降2.41 mmol/L,餐后2 h血糖平均水平下降3.99 mmol/L,糖化血红蛋白下降1%,总胆固醇平均水平下降了0.899 mmol/L,三酰甘油平均水平下降了0.795 mmol/L,低密度脂蛋白胆固醇平均水平下降了0.496 mmol/L,管理前后以上指标的变化经统计学检验,均有显著差异(P<0.001)。结论:"知己健康管理"可以强化糖尿病患者对疾病的认识,改变不良生活方式,有利于血糖、血压、血脂、体重、腰围等的控制,是社区慢性病管理的有效手段。
Objective： To discuss the effect of ＂health awareness＂ on the control of diabetes through the improvement in unhealthy life style.Methods： the health management control method for the management of their own and way of life was used to compare the blood glucose,glycated hemoglobin,blood fat and blood pressure of 96 cases of the patients with diabetes in Qinghuayuan community for 1 year.Results： After administration,every index of diabetes was improved apparently.The body weight of patient decreased averagely by 2.56 kg,BMI by 1.09,the waistline by 3.39 cm,systolic pressure by 4.91 mm Hg,diastolic pressure by 3.13 mm Hg,FPG by 2.41 mmol/L,2 h PG by 3.99 mmol/L,HbA1c by 1%,TC by 0.899 mmol/L,TG by 0.795 mmol/L,and LDL-C by 0.496 mmol/L.There was significant difference between the above mentioned indexes before and after the ＂health awareness＂（P〈0.001）.Conclusion： ＂Health Awareness＂ can intensify the recognition of the patients with diabetes,change their unhealthy life style and benefit the control of glucose,blood pressure and lipid,as well as body mass and waistline,which is the effective approach for the community administration of chronic diseases.
出处
《中国医药导报》
CAS
2011年第27期130-132,共3页
China Medical Herald
