Application of joint hospital and community intervention in the population with impaired glucose regulation

Objective To investigate the application effect of joint hospital and community intervention in the population with impaired glucose regulation （ IGR） .Methods Four selected communities were divided into the control group and the experimental group.All samples were screened for diabetes mellitus and then given different interventions.Totals of 121 samples were included.There were 57 cases in the experimental group, and 64 cases in the control group.The control group was given a three-month follow-up by the community health workers, while the experimental group was given a joint community and hospital worker’ intervention, including a three-month follow-up of the community, the first three months of hospital health lectures, on-site consultation, individualized diet and exercise prescription.The intervention time was 12 months.Before and after the intervention, samples were asked to complete an IGR health belief questionnaire and other clinical indicators of changes in blood glucose and body mass index were collected.Results One case in the experimental group was lost during follow-up, and 120 cases finished the research.The fasting blood glucose, postprandial 2 h blood glucose, glycated hemoglobin, body mass index were not statistically different between two groups before the intervention （P〉0.05）.After the intervention, fasting blood glucose, postprandial 2 hour plasma glucose, glycated hemoglobin, body weight index of the experimental group were （ 5.70 ± 0.66）mmol/L, （7.29 ±1.85） mmol/L, （6.26 ±0.45）% and （26.00 ±3.11）kg/m2, respectively.Those values of the control group were （6.21 ±0.99） mmol/L, （8.18 ±2.26） mmol/L, （6.55 ±0.74）% and （27.20 ±3.13）kg/m2.There were significant differences between the two groups （t=3.148, 2.271, 2.379, 2.070, respectively;P〈0.05）.The score of health belief was not statistically different between the two groups before the intervention （P〉0.05）.After the intervention, the score of health belief of the experimental group was （127.63 ±11.64）, which was significantly higher than （121.76 ±12.53） of the control group （t=2.944, P〈0.05 ） .One year after the intervention, 53.57% cases in the experimental group returned to normal glycometabolism, and 31.25%cases in the control group returned to normal, and the difference was significant （ Z=2.560, P 〈0.05 ） .Conclusions Joint hospital and community intervention can improve the state of abnormal glucose metabolism, and reduce the incidence of diabetes in population with IGR. Key words: Early stage of diabetes mellitus; Hospital,community; Health education; Joint hospital and community intervention