A Community-Based Comprehensive Intervention Program for 7200 Patients with Type 2 Diabetes Mellitus in Chongqing (China)

International Journal of Environmental Research and Public Health

Yulin Wang¹  Xianbin Ding¹  Wenge Tang¹  Deqiang Mao¹  Liangui Feng¹  Hongyan Xiong²  Li Qi²  Xiangyu Ma²  Jingxin Li³ 

[1] Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China;Department of Epidemiology, College of Prevention Medicine, the 3rd Military Medical University, Chongqing 400038, China;Jiangshu Municipal Center for Disease Control and Prevention, Jiangshu 210009, China;

关键词: type 2 diabetes mellitus;    intervention;    community;   

DOI  :  10.3390/ijerph111111450

来源: DOAJ

【 摘 要 】

This study assessed the feasibility of community-based comprehensive intervention on Type 2 diabetes mellitus (T2DM) on a large population in China.An intervention study was conducted on 7200 T2DM patients within one year and consisted of six lectures on health issues, and four times face-to-face lifestyle counseling delivered by general health practitioners, at local primary health centers (PHCs). A “knowledge, attitude and practice” (KAP) survey and fasting plasma glucose (FPG) measurement were conducted at baseline and after the intervention, respectively. A total of 6586 T2DM patients completed the intervention. After one year intervention, patients’ KAP level improved significantly(p < 0.001) and the average FPG has decreased from 8.53 mmol/L (standard deviation: 2.84) to 7.11 mmol/L (standard deviation: 1.34) (p < 0.001). Patients in rural areas and with lower education level showed higher FPG and poorer KAP level both before and after the intervention. In conclusion, community-based comprehensive intervention for T2DM is feasible on a large population. Improving and repeating the comprehensive strategy is greatly recommended in order to sustain the impact, especially in rural areas and for patients with lower education levels.

【 授权许可】

Unknown