Objective e the effect of community standardized management in control of glycosylated hemoglobin and complications in patients with type 2 diabetes.Methods Totally 128 patients with type 2 diabetes were randomly divided into control group and study group,64 cases in each group.Both groups were treated with routine medication guidance,and on this basis,the community standardized management was carried out in study group.The glycemic indexes [glycosylated hemoglobin (HbA1c),fasting blood glucose (FPG),postprandial 2 h blood sugar (2 hPG)] and awareness of knowledge about disease before and after intervention were compared,and the incidence of chronic complications and compliance behaviors were compared as well.Results The HbA1c,FPG and 2 hPG levels after intervention in the study group were significantly lower than the control group,macrovascular and microvascular complications were significantly lower than the control group (P ＜ 0.05).In the study group,the ratios of self monitoring of blood glucose,taking medication,reasonable diet,regular visits,weight control,adhere to the rule of medication were significantly higher than the control group (P ＜ 0.05).Awareness score of disease knowledge in the study group was significantly higher than the control group (P ＜ 0.05).Conclusion Implementation of immunity standardized management for patients with type 2 diabetes can reduce blood sugar level,reduce the incidence rate of complications,improve patients'ompliance behavior and improve their mastery of disease and self-management behavior.%目的 探讨社区规范化管理在控制2型糖尿病患者糖化血红蛋白指标及并发症的效果.方法 选取128例2型糖尿病患者,根据随机数表法分为对照组和研究组各64例.2组均接受社区常规用药指导,研究组在此基础上开展社区规范化管理.比较2组干预前后血糖指标[糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2h血糖(2 hPG)]、疾病知识知晓情况,并对比2组慢性并发症发生情况及遵医行为.结果 研究组干预后HbA1c、FPG及2 hPG水平显著低于对照组,大血管及微血管并发症发生率显著低于对照组(P＜0.05);研究组自我监测血糖、遵医嘱用药、合理饮食、定期复诊、控制体质量、坚持规律服药比例显著高于对照组(P＜0.05);干预后研究组疾病知晓评分显著高于对照组(P＜0.05).结论 给予2型糖尿病患者社区规范化管理有利于降低血糖水平,降低并发症发生率,改善患者遵医行为,提高其对疾病掌握程度及自我管理行为.
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