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目的 探讨"知己健康管理"在社区糖尿病管理中的效果.方法 对40例社区糖尿病患者,采用"知己健康管理"进行糖尿病相关指标记录并进行个体化的指导,3个月后对管理前后指标的变化情况采用SPSS 11.5统计学软件进行分析.结果 实施个体化管理3个月后,发现所有患者在体重(t=4.954,P＜0.05)、体重指数(t=4.729,P＜0.05)、腰围(t=6.357,P＜0.05)、收缩压(t=4.515,P＜0.05)、舒张压(t=4.085,P＜0.05)和餐后2小时血糖(t=2.170,P＜0.05)等可变危险因素上均有不同程度的改善,其中男性在降低体重(t=3.002,P＜0.05)、体重指数(t=2.829,P＜0.05)、腰围(t=4.484,P＜0.05)方面效果显著;女性在降低体重(t=3.874,P＜0.05)、体重指数(t=3.731,P＜0.05)、腰围(t=4.559,P＜0.05)、收缩压(t=4.292,P＜0.05)和舒张压(t=3.901,P＜0.05)疗效明显;年龄≥60岁者在降低体重(t=5.560,P＜0.05)、体重指数(t=5.200,P＜0.05)、腰围(t=5.242,P＜0.05)、收缩压(t=3.771,P＜0.05)、舒张压(t=3.640,P＜0.05)和餐后2小时血糖(t=2.229,P＜0.05)方面有效;年龄＜60岁者在降低腰围(t=3.557,P＜0.05)、收缩压(t=2.716,P＜0.05)和三酰甘油(t=2.438,P＜0.05)方面有效.结论 根据"知己健康管理"相关内容对社区糖尿病患者进行有针对性的指导,能有效地降低可改变的危险因素,进而控制糖尿病并发症的发生.

Objectives To learn the effect of self-recognition-based healthy management on community diabetics. Methods A total of 40 community diabetics were evaluated and trained for 3 months.SPSS11.5 software was used for data analysis. Results At 3 months, some risk factors of diabetes,including body weight, body mass index (BMI), waist circumstance (WC), systolic blood pressure (SBP), diastolic blood pressure (DBP) and 2 h postprandial blood sugar (PBS), were improved (P ＜0. 05). Male patients showed statistically significant reduction in body weight, BMI and WC ( P ＜ 0. 05 ).However, female subjects were found to have significant decline in body weight, BMI, WC, SBP and DBP (P＜0. 05). Those ＞60 year-old had significantly decreased body weight, BMI, WC, SBP, DBP and 2 h PBS ( P ＜ 0. 05). Lower levels of WC, SBP and triglyceride were seen in individuals ＜ 60 year-old ( P ＜0. 05 ). Conclusion Self-recognition-based healthy management could effectively reduce diabetic risk factors and prevent the development of diabetic complications.