| Objective To observe the effects of community interventions on treatment adherence and efficacy in the patients with type II diabetes mellitus (DM) combined with diabetic retinopathy (DR). Methods From May 2012 to Jun 2014, 148 cases of DR patients screened and diagnosed from 678 cases of type II DM patients in the area of Guilin Xiangshan, were collected and randomly divided into the intervention group and the control group, 74 cases or 148 eyes in each group. Patients in the two groups were managed with chronic disease records, and the intervention group underwent additional 2-year community interventions, including concerted interventions by community healthcare team and specialists in ophthalmology and endocrinology, regular fundus oculi examination, signing service of family physician, and psychological intervention. Then the intervention efficacy and adherence in the two groups were evaluated and compared. Results Compliance with regular examination and intensive glucose control in the intervention group was much better, together with a more higher glucose control rate, than that in the control group, and the differences between the two groups were statistically significant (P<0.05). There was slower retinopathy development in the intervention group, with significant difference between them (P<0.05). Conclusion The implementation of community interventions in the type II DM patients administered could improve the treatment compliance and level of blood glucose control, which is helpful to diagnose DR early, protect vision, control blood glucose and improve quality of life. |
