Abstract
Objective To discuss the effectiveness of knowledge-attitude-practice(KAP)-based health management on type 2 diabetes in community residents. Methods From June 2010 to December 2011, 930 type 2 diabetes patients living in Mishi Lane Community were enrolled and assigned to the intervention group(n=494) and the control group(n=436). The KAP mode was used for the intervention group, and the routine management mode was applied to the control group. Fasting blood glucose(FBG), PBG2 h, HbAlc, blood pressure(BP), triglyceride(TG) and body mass index(BMI) were tested and recorded. Student's t test or Chi-square test was used for data analysis. Results Age(t=0.124, P>0.05), gender(χ2=2.0, P>0.05) and other demographics showed no statistically significant difference between the two groups(all P>0.05). After one-year KAP-based health management, HbA1c of the intervention group reduced to(6.1±1.2)%, FBG and PBG2 h reduced by 1.7 and 3.23 mmol/L, respectively(t=4.926, P<0.05; t=4.306, P<0.05; t=4.523, P< 0.05). Diet, physical exercises, medication, regular inspection, unhealthy habits and questionare test awaveness of the intervention group were improved(86.03%, 82.19%, 85.63%,70.45% 76.11% and 88.46%, respectively. Drinking, dietary structure, overweight and physical exercises of the intervention group were also improved(14.17%, 15.79%, 70.65% and 68.83%, respectively; all P<0.001). Conclusion The KAP-based health management is proved to be effective in the control of community diabetic patients. Key words: Diabetes mellitus; Community medicine; Health education
Published Version
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