The Baseline Investigation And Healtheducation Intervention Study Of Type 2 Diabetes Mellitusin Xinjiang Bingtuan 103 Corps

Objective:To investigate the condition of blood glucose, blood fat, nutrient intaking in prandium,health-related knowledge and self efficiency level 0f 2-DM patientsin 103formation corps in xinjiang. In addition,to evaluated the effect of two differente ducational methods. Subjects: To survey 9420 persons who are living in 103 formation corps during 2008.10 and 2009.3, from which 241 patients were diagnosed as 2-DM and selected as subjects. Methods: To apply the intervened test design, which include three stages . First stage,241 type 2 diabetes mellitus were randomly divided into experiment group and control group by cluster sampling,the ratio was 2:1 .The investigation of diabetes knowledge and self-efficiency was carried out in two groups .The amounts of meals,body mass index,blood sugar and blood fat were measured .Second stage,the six months intensive health education was carried out in one group,the other group accepted general health education.Third stage ,the investigation like the first stage was carried out ,to evaluate the effect's difference between two groups.The results were reflected by DM knowledge ,self-efficiency level, nutrientintaking in prandium and other indexes such as BMI, blood glucose and blood fat.Results:1.baseline data:In 2-DM patients of 103 formation corps in xinjiang,the health-related knowledge and self efficiency level was very low ,and there was obvious disorder of BMI,blood glucose ,blood fat and nutrient intaking in prandium.2.Results of two different intervention: (1)The results of contrast data before and after 6-month intervention: 1)In test group there were increases of the level of health-related knowledge and total self efficiency,and the proportion of nutrient intaking in prandium was more rational. Meanwhile, there was significant improvements of BMI, blood glucose and blood fat (P<0.01), and the achieving-goal rate was increased from 42.9%, 3.2% and 1.2% to 75.3%,34% and 32% respectively. 2)In contrast group,there was also similar trend of above indexes.(2)The contrast results between groups :After 6-month intervention, there were more better alteration of above indexes in the test group than the control group.Conclusion: In 2-DM patients of 103 formation corps in xinjiang,the health-related knowledge and self efficiency level was very low,and there was obvious disorder of BMI,blood glucose ,blood fat and nutrient intaking in prandium. Individual strengthening health education is much better than general health education in some aspects as improvement in the level of health-related knowledge ,total self efficiency,the proportion of nutrient intaking in prandium , BMI, blood glucose and blood fat.