摘要
目的评价山东省青岛市黄岛区2型糖尿病患者规律服药率和血糖控制率的规范管理干预效果,为提高糖尿病患者血糖控制和防治水平提供参考依据。方法于2012年5-7月整群抽取青岛市黄岛区15 369例≥35岁2型糖尿病患者建立糖尿病健康管理档案,进行为期3年的规范管理,给予免费糖尿病药物治疗且每年至少进行4次面访和空腹血糖测量,比较2型糖尿病患者干预前后的规律服药率和血糖控制率。结果青岛市黄岛区2型糖尿病患者干预后的规律服药率和血糖控制率分别为51.99%和47.61%,均高于干预前的43.92%和30.29%(均P <0.001);男性2型糖尿病患者干预后的规律服药率和血糖控制率分别为49.32%和50.59%,均高于干预前的38.81%和31.74%(均P <0.001);女性2型糖尿病患者干预后的规律服药率和血糖控制率分别为53.60%和45.84%,均高于干预前的46.95%和29.44%(均P <0.001)。结论规范管理可提高该地区糖尿病患者的规律服药率和血糖控制率。
Objective To evaluate the effect of standardized management intervention on regular medication and glycemic control among type 2 diabetes patients in Huangdao district of Qingdao city, Shandong province and to provide references for the improvement of blood glucose control and treatment in diabetic patients. Methods We recruited all type 2 diabetes patients(n = 15 369) aged ≥ 35 years and established health care records for them from May to July, 2012. Then we conducted a 3-year standardized management program, including free of charge medication for diabetes and at least 4 times of both face-to-face follow-up and fasting blood glucose measurement per year, among the participants. The regular medication rate and blood glucose control rate before and after the intervention program among the participants were analyzed and compared. Results Compared to those before the intervention, significantly increased regular medication rates(51.99% vs. 47.61% among all participants, 49.32% vs. 38.81% among male participants, and 53.60% vs. 46.95% among female participants) and glycemic control rates(47.61% vs. 30.29% among all participants, 50.59% vs. 31.74% among male participants, and 45.84% vs. 29.44% among female participants) were observed after the intervention(P < 0.001 for all).Conclusion Standardized management intervention among type 2 diabetes patients could improve regular medication rate and glycemic control rate in community diabetes patients.
作者
张振堂
赵枫琳
陈向华
卢新玉
张栋
ZHANG Zhen-tang;ZHAO Feng-lin;CHEN Xiang-hua(Huangdao District Center for Disease Control and Prevention,Qingdao,Shandong Province 266400,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2019年第11期1464-1466,共3页
Chinese Journal of Public Health
关键词
2型糖尿病
规律服药率
血糖控制率
规范管理
干预效果
type 2 diabetes
regular medication rate
glucose control rate
standardized management
intervention effect
作者简介
张振堂(1972–),男,山东青岛人,副主任医师,本科,研究方向:慢性病防制。通信作者:赵枫琳,E-mail:zhaofenglin7258@126.com。
