Chinese General Practice ›› 2023, Vol. 26 ›› Issue (01): 74-81.DOI: 10.12114/j.issn.1007-9572.2022.0417
Special Issue: 老年问题最新文章合集
• Original Research·Focus on Clinical Practice and Improvement • Previous Articles Next Articles
Received:
2022-06-14
Revised:
2022-09-24
Published:
2023-01-05
Online:
2022-10-28
Contact:
WANG Xue
About author:
通讯作者:
王雪
作者简介:
基金资助:
Add to citation manager EndNote|Ris|BibTeX
URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2022.0417
组别 | 例数 | 性别(男/女) | 年龄( | 糖尿病病程( | 文化程度〔n(%)〕 | 治疗方式〔n(%)〕 | 糖尿病并发症〔n(%)〕 | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
初中及以下 | 中专/高中 | 大专及以上 | 饮食与运动干预 | 降糖药 | 胰岛素 | 降糖药+胰岛素 | 有 | 无 | |||||
对照组 | 52 | 27/25 | 68.5±4.1 | 7.2±5.6 | 19(36.5) | 22(42.3) | 11(21.2) | 1(1.9) | 26(50.0) | 2(3.8) | 23(44.3) | 33(63.5) | 19(36.5) |
干预组 | 53 | 24/29 | 67.1±4.3 | 7.6±6.0 | 18(34.0) | 20(37.7) | 15(28.3) | 2(3.8) | 24(45.2) | 2(3.8) | 25(47.2) | 31(58.5) | 22(41.5) |
χ2(t)值 | 0.463 | -1.681a | 0.295a | 0.728 | 0.487 | 0.273 | |||||||
P值 | 0.496 | 0.096 | 0.768 | 0.695 | 0.922 | 0.602 |
Table 1 Comparison of general information of older adults with type 2 diabetes in two groups
组别 | 例数 | 性别(男/女) | 年龄( | 糖尿病病程( | 文化程度〔n(%)〕 | 治疗方式〔n(%)〕 | 糖尿病并发症〔n(%)〕 | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
初中及以下 | 中专/高中 | 大专及以上 | 饮食与运动干预 | 降糖药 | 胰岛素 | 降糖药+胰岛素 | 有 | 无 | |||||
对照组 | 52 | 27/25 | 68.5±4.1 | 7.2±5.6 | 19(36.5) | 22(42.3) | 11(21.2) | 1(1.9) | 26(50.0) | 2(3.8) | 23(44.3) | 33(63.5) | 19(36.5) |
干预组 | 53 | 24/29 | 67.1±4.3 | 7.6±6.0 | 18(34.0) | 20(37.7) | 15(28.3) | 2(3.8) | 24(45.2) | 2(3.8) | 25(47.2) | 31(58.5) | 22(41.5) |
χ2(t)值 | 0.463 | -1.681a | 0.295a | 0.728 | 0.487 | 0.273 | |||||||
P值 | 0.496 | 0.096 | 0.768 | 0.695 | 0.922 | 0.602 |
组别 | 例数 | FBG(mmol/L) | 2 h-PBG(mmol/L) | HbA1c(%) | ||||||
---|---|---|---|---|---|---|---|---|---|---|
干预前 | 干预第6个月 | 干预第12个月 | 干预前 | 干预第6个月 | 干预第12个月 | 干预前 | 干预第6个月 | 干预第12个月 | ||
对照组 | 52 | 8.97±0.86 | 8.74±0.69b | 8.68±0.78b | 14.41±1.12 | 12.27±0.84b | 11.86±0.86bc | 7.95±0.65 | 7.94±0.59 | 7.91±0.56 |
干预组 | 53 | 9.04±0.74 | 8.22±0.62ab | 7.50±0.54abc | 14.47±1.35 | 11.21±1.03ab | 10.90±1.07abc | 8.05±0.67 | 7.24±0.50ab | 6.71±0.44abc |
F值 | F交互=46.979,F组间=33.548,F时间=104.154 | F交互=12.443,F组间=19.643,F时间=385.062 | F交互=89.599,F组间=71.326,F时间=82.405 | |||||||
P值 | P交互<0.001,P组间<0.001,P时间<0.001 | P交互<0.001,P组间<0.001,P时间<0.001 | P交互<0.001,P组间<0.001,P时间<0.001 |
Table 2 Levels of FBG,2 h-PBG and HbA1c in two groups at baseline,and at the end of 6 and 12 months of intervention
组别 | 例数 | FBG(mmol/L) | 2 h-PBG(mmol/L) | HbA1c(%) | ||||||
---|---|---|---|---|---|---|---|---|---|---|
干预前 | 干预第6个月 | 干预第12个月 | 干预前 | 干预第6个月 | 干预第12个月 | 干预前 | 干预第6个月 | 干预第12个月 | ||
对照组 | 52 | 8.97±0.86 | 8.74±0.69b | 8.68±0.78b | 14.41±1.12 | 12.27±0.84b | 11.86±0.86bc | 7.95±0.65 | 7.94±0.59 | 7.91±0.56 |
干预组 | 53 | 9.04±0.74 | 8.22±0.62ab | 7.50±0.54abc | 14.47±1.35 | 11.21±1.03ab | 10.90±1.07abc | 8.05±0.67 | 7.24±0.50ab | 6.71±0.44abc |
F值 | F交互=46.979,F组间=33.548,F时间=104.154 | F交互=12.443,F组间=19.643,F时间=385.062 | F交互=89.599,F组间=71.326,F时间=82.405 | |||||||
P值 | P交互<0.001,P组间<0.001,P时间<0.001 | P交互<0.001,P组间<0.001,P时间<0.001 | P交互<0.001,P组间<0.001,P时间<0.001 |
组别 | 例数 | 饮食维度得分 | 运动维度得分 | 血糖监测维度得分 | 足部护理维度得分 | 中文版SDSCA总得分 | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | ||
对照组 | 52 | 2.84±0.92 | 3.06±0.70 | 2.66±0.60 | 2.58±0.70 | 1.17±0.88 | 1.21±0.50 | 2.10±1.14 | 1.91±0.60 | 8.78±1.63 | 8.75±0.98 |
干预组 | 53 | 2.96±1.07 | 4.42±0.95a | 2.67±0.57 | 4.77±1.03a | 1.11±0.64 | 2.51±0.82a | 2.04±0.83 | 4.64±0.98a | 8.79±1.34 | 16.34±1.64a |
t值 | 0.596 | 8.359 | 0.138 | 12.818 | -0.398 | 9.792 | -0.300 | 17.208 | 0.047 | 28.828 | |
P值 | 0.553 | <0.001 | 0.891 | 0.001 | 0.691 | <0.001 | 0.765 | <0.001 | 0.963 | <0.001 |
Table 3 Comparison of the total and subscales scores of the SDSCA-C before and after intervention between two groups
组别 | 例数 | 饮食维度得分 | 运动维度得分 | 血糖监测维度得分 | 足部护理维度得分 | 中文版SDSCA总得分 | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | 干预前 | 干预后 | ||
对照组 | 52 | 2.84±0.92 | 3.06±0.70 | 2.66±0.60 | 2.58±0.70 | 1.17±0.88 | 1.21±0.50 | 2.10±1.14 | 1.91±0.60 | 8.78±1.63 | 8.75±0.98 |
干预组 | 53 | 2.96±1.07 | 4.42±0.95a | 2.67±0.57 | 4.77±1.03a | 1.11±0.64 | 2.51±0.82a | 2.04±0.83 | 4.64±0.98a | 8.79±1.34 | 16.34±1.64a |
t值 | 0.596 | 8.359 | 0.138 | 12.818 | -0.398 | 9.792 | -0.300 | 17.208 | 0.047 | 28.828 | |
P值 | 0.553 | <0.001 | 0.891 | 0.001 | 0.691 | <0.001 | 0.765 | <0.001 | 0.963 | <0.001 |
[1] |
|
[2] |
|
[3] |
|
[4] |
蔡细旋,王建榜,吴江,等. 我国全科医疗持续发展的挑战:社区多重慢性病的管理策略[J]. 中国全科医学,2020,23(34):4279-4284,4290. DOI:10.12114/j.issn.1007-9572.2020.00.576.
|
[5] |
|
[6] |
涂建文. 天猫OTO商业模式研究[D]. 天津:天津大学,2018.
|
[7] |
|
[8] |
王优霞. 我国城市社区党建工作研究[D]. 沈阳:辽宁大学,2018.
|
[9] | |
[10] | |
[11] |
彭翠娥,李赞,毛煌兴,等. 线上线下康复干预对改善乳腺癌术后乳房重建者上肢功能和体像自评的效果[J]. 中国护理管理,2020,20(11):1637-1642. DOI:10.3969/j.issn.1672-1756.2020.11.009.
|
[12] |
陈菊红,解红文,阮永兰,等. 妊娠期糖尿病孕妇线上线下结构化健康教育研究[J]. 护理学杂志,2020,35(11):5-8. DOI:10.3870/j.issn.1001-4152.2020.11.005.
|
[13] |
王莉,付阿丹,易兰,等. "互联网+"糖尿病健康管理站在2型糖尿病患者管理中的应用[J]. 中国全科医学,2019,22(15):1836-1841. DOI:10.12114/j.issn.1007-9572.2019.00.004.
|
[14] | |
[15] |
中华医学会糖尿病学分会. 中国糖尿病运动治疗指南[EB/OL]. (2012-12-20)[2021-09-16].
|
[16] |
National Institute for Healthy and Care Excellence. Type 2 diabetes in adults:management[EB/OL].(2015-12-02)[2019-04-08].
|
[17] |
中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2020年版)[J]. 国际内分泌代谢杂志,2021,41(5):482-548. DOI:10.3760/cma.j.cn115791-20210221-00095.
|
[18] |
国家卫生计生委. 国家卫生计生委关于印发《国家基本公共卫生服务规范(第三版)》的通知[A/OL]. (2017-02-28)[2021-09-16].
|
[19] |
王随琴,关云,李小妹. 社区护士主导多学科管理模式对糖尿病患者自我管理水平的影响[J]. 护理学报,2020,27(6):9-11. DOI:10.16460/j.issn1008-9969.2020.06.009.
|
[20] |
朱苗苗,潘红英,李思嘉,等. 2型糖尿病患者运动方案的最佳证据总结[J]. 中华护理杂志,2019,54(12):1887-1893. DOI:10.3761/j.issn.0254-1769.2019.12.024.
|
[21] |
胥祉涵,王世强,李丹,等. 2022年美国运动医学会《2型糖尿病患者的运动/身体活动指南》解读及启示[J]. 中国全科医学,2022,25(25):3083-3088. DOI:10.12114/j.issn.1007-9572.2022.0353.
|
[22] |
|
[23] |
李延飞,陈伟菊,许万萍,等. 2型糖尿病患者自我管理行为量表的改良及其信效度检验[J]. 现代医院,2011,11(3):148-150. DOI:10.3969/j.issn.1671-332X.2011.03.074.
|
[24] |
韩云,徐宇红,叶新华,等. "互联网+"慢性病管理模式在2型糖尿病患者中的应用[J]. 中华护理杂志,2018,53(7):789-794. DOI:10.3761/j.issn.0254-1769.2018.07.004.
|
[25] |
|
[26] |
|
[27] |
罗明亮,梁兴伦,吕鹏. 家庭医生强化血糖监测对2型糖尿病患者血糖控制的效果评估[J]. 中国全科医学,2020,23(9):1181-1184. DOI:10.12114/j.issn.1007-9572.2019.00.796.
|
[28] |
|
[29] |
|
[30] |
苏秀玉,陈向韵. 社区Ⅱ型糖尿病患者个体化指导与计算机辅助干预的效果评价[J]. 护理学报,2015,22(2):72-74. DOI:10.16460/j.issn1008-9969.2015.02.072.
|
[31] |
邓玉凤,王海民,彭若萱,等. 移动医疗在老年2型糖尿病患者中的临床应用[J]. 中华内分泌代谢杂志,2017,33(10):841-844. DOI:10.3760/cma.j.issn.1000-6699.2017.10.007.
|
[32] |
贾书磊,方小群,冯琼,等. 线上线下互动平台在社区脑卒中康复中的应用[J]. 中国康复医学杂志,2017,32(3):340-343. DOI:10.3969/j.issn.1001-1242.2017.03.021.
|
[33] |
|
[34] |
殷荣平,王琪,王丽丽,等. 2型糖尿病患者饮食自我管理的知信行调查分析[J]. 护理学报,2017,24(2):11-13. DOI:10.16460/j.issn1008-9969.2017.02.011.
|
[35] |
叶蕊,苗秀欣,陈汉文,等. 老年2型糖尿病患者护理问题评估体系的构建[J]. 护理学报,2017,24(4):6-10. DOI:10.16460/j.issn1008-9969.2017.04.006.
|
[1] | WANG Shiyue, DONG Chen, CHANG Chudi, NAN Yuemin. Opportunities and Challenges of Surveillance for Liver Cancer in Primary Care Institutions in China [J]. Chinese General Practice, 2023, 26(36): 4498-4504. |
[2] | LU Lixia, WANG Rongqi. Advances in Liver Cancer Screening and Health Surveillance Management in Primary Care Institutions [J]. Chinese General Practice, 2023, 26(36): 4505-4509. |
[3] | LI Dianjiang, PAN Enchun, SUN Zhongming, WEN Jinbo, WANG Miaomiao, WU Ming, SHEN Chong. The Current Status and Influencing Factors of Clinical Inertia in Type 2 Diabetes Patients in Community [J]. Chinese General Practice, 2023, 26(34): 4296-4301. |
[4] | HUANG Jinling, ZENG Zhirong. The Logic and Trend of Urban Community Health Service Policies in China [J]. Chinese General Practice, 2023, 26(34): 4239-4245. |
[5] | YANG Hui, HU Ruwei, LIU Ruqing, LU Junfeng, WU Jinglan. Relationship between Community Health Service Experience and Glycemic Control Outcomes in Patients with Diabetes Mellitus [J]. Chinese General Practice, 2023, 26(34): 4290-4295. |
[6] | XU Jian, DAI Fangfang, PAN Wenlei, HUANG Qian, LU Ping, WANG Jianfeng, JIA Huan, YANG Yuqi, HUANG Jiaoling. Visual Analysis of Hotspots and Cutting-edge Trends of Community TCM Service Research in China in the Context of Healthy China [J]. Chinese General Practice, 2023, 26(34): 4343-4350. |
[7] | QIN Fengyin, ZHANG Qishan, LAI Jinjia, HUANG Yimin, HAN Guoyin, SUN Xinglan, WANG Fen, TAN Yibing. Current Status and Influencing Factors of the Intention to Screen for High-risk Stroke among Community Residents in Guangdong [J]. Chinese General Practice, 2023, 26(34): 4283-4289. |
[8] | YAO Yuzhong, MA Xiaojun, SONG Huan, ZHONG Yu. The Management Effect of Diabetes "1358 model" on Community Diabetes Patients Based on "Precision Management Combining General Care and Specialty Care" [J]. Chinese General Practice, 2023, 26(34): 4308-4314. |
[9] | LI Qianqian, CHEN Xunrui, ZHANG Wenying, YUAN Haihua, ZHANG Yanjie, JIANG Bin, LIU Feng. Demand and Influencing Factors for Community Health Services during Chemotherapy of Patients with Advanced Cancer [J]. Chinese General Practice, 2023, 26(33): 4173-4180. |
[10] | YIN Zhaoxia, MAO Lidong, ZHANG Baoshuang, HUANG Yin, FENG Yang, WANG Yunfei. Spectrum of Outpatient Illnesses in Children Contracting Family Doctor Services in Shenzhen's Community Settings and Related Implications for Standardized Residency Training of General Practitioners [J]. Chinese General Practice, 2023, 26(33): 4218-4224. |
[11] | YU Dehua. Scientific Research Conception Guided by General Practice Thinking [J]. Chinese General Practice, 2023, 26(31): 3872-3876. |
[12] | HONG Yuchun, WU Hua, DU Yishan, LI Shuran, SUN Wenmin, YE Mingyu, ZHANG Yongjian, LI Yang. Development of General Practice Diagnostic Terminology and Coding and Empirical Study on Its Application [J]. Chinese General Practice, 2023, 26(31): 3896-3901. |
[13] | ZHOU Yingda, ZHUO Shuxiong, YANG Xi, JIN Hua, YU Dehua. Implementation Status and Strategy Research on the Construction of Clinical Pathways for Diagnosis and Treatment of Medically Unexplained Disease in Community General Practice [J]. Chinese General Practice, 2023, 26(31): 3939-3944. |
[14] | ZHOU Dongdong, GE Xuhua. The Evaluation Index of Post Competence of General Practitioners in Less-developed Areas [J]. Chinese General Practice, 2023, 26(31): 3908-3914. |
[15] | GAO Yanli, WANG Hongjun, SUN Fei, JI Xiangqin, Changizi Roohollah. Exploration of Chronic Disease Management Model in Secondary Private General Hospital [J]. Chinese General Practice, 2023, 26(28): 3585-3590. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||