同伴支持对农村2型糖尿病患者干预效果评估

摘要

目的 了解同伴支持教育模式对农村2型糖尿病患者血糖控制的干预效果.方法 采用随机抽样方法抽取昌平区某镇3个自然村≥18岁农村居民300人作为调查对象(其中对照组184人、干预组116人),进行健康检查和健康教育.分析对照组和干预组糖尿病患者、糖耐量受损者的无改变率、转病人率、转糖耐量受损率和转正常率及各项生化指标变化,以评价同伴支持教育的干预效果.结果 糖尿病患者、糖耐量受损者的血糖控制率干预组(72.2％和71.4％)高于对照组(43.6％和26.7％),无改变率(13.9％和0.0％)低于对照组(42.3％和73.3％).参加健康教育小组的糖尿病患者和糖调节受损者的腰臀比、尿酸、TG、HDL-C均出现了显著的改善,糖尿病患者的糖化血红蛋白也出现了显著改善.结论 同伴支持教育干预有利于糖尿病患者的转归.同伴支持教育与效果评估相结合在糖尿病防治效果评估中作用显著.同伴支持教育对正常人群干预效果同样明显.%Objective To evaluate the intervention effects of peer support education mode for type 2 diabetes control in rural residents.Methods A random cluster sampling method has been used,including 300 rural residents aged above 18 years old from three villages (184 in control group,116 in intervention group),in order to proceed the physical check-up and health education programs.Unchanged rate,transfer rate of patients,rate of impaired glucose tolerance,turn normal rate and other biochemical indicators of patients and people with impaired glucose tolerance from control group and intervention group were analyzed,to evaluate the intervention effects of peer support education mode.Results The glycemic control rate of intervention group for patients and people with impaired glucose tolerance (72.2％ and 71.4％) were higher than control group (43.6％ and 26.7％),but the unchanged rate of intervention group (13.9％ and 0.0％) were lower than control group (42.3％ and 73.3％).Patients with diabetes or glucose intolerance in the education group improved significantly in waist-to-hip ratio,uric acid,total cholesterol and HDL-C.Glycemic hemoglobin level also improved significantly in diabetes patients of the education group.Conclusion Peer support for education intervention seemed beneficial for diabetic control.The combination of education and effect evaluation was important in the evaluation of diabetes prevention and control.Peer support education also benefited the blood glucose control in general population.