###
中国初级卫生保健:2024,38(5):18-22
本文二维码信息
码上扫一扫!
社区2型糖尿病患者自我管理行为 及对血糖控制的影响研究*
摘要
图/表
参考文献
相似文献
本文已被:浏览 351次   下载 0
    
中文摘要: 摘 要:目的:了解社区2型糖尿病患者的自我管理行为及其对血糖控制的影响,为相关部门进一步完善社区糖尿病健 康教育与干预策略提供参考依据。方法:2022年7—12月,选取深圳市社区健康服务中心管理的2型糖尿病患者进行问卷调 查,调查内容包括一般情况、糖尿病自我管理行为和血糖控制情况。结果:923例调查对象的合理用药、合理饮食和体育锻 炼平均得分分别为(6.78±1.08)分、(5.88±2.28)分和(5.49±2.65)分,而血糖监测、检查足部和遵医嘱监测的平均得分均 低于2分。糖化血红蛋白控制达标率为48.77%。多因素logistic回归分析结果显示,病程>5年、有吸烟行为、未配备血糖 仪、使用胰岛素、较少或无合理饮食的患者糖化血红蛋白控制更难达标。 结论:社区2型糖尿病患者在合理用药、合理饮食 和体育锻炼上表现较好,而在血糖监测、遵医嘱监测和检查足部行为上表现较差。合理膳食是控制患者血糖达标的重要影响 因素。相关部门应进一步规范社区家庭医生对糖尿病患者自我管理知识的健康指导,提升患者的自我管理能力,从而促使患 者血糖水平达标。
Abstract:Abstract: OBJECTIVE To study the self-management behavior of the patients with type 2 diabetes mellitus in the communities and its effects on glucose control, and to provide theoretical basis for further standardized health education intervention. METHODS Using the random number method, patients from community health service information system were selected for one-to-one survey during Junly to December in 2022, in which the patienscharacteristics, self-management behavior, and glucose control were included. RESULTS 923 patients were recruited. The average scores of rational medication use, proper diet and physical exercise were 6.78 ± 1.08 points, 5.88 ± 2.28 points and 5.49 ± 2.65 points, respectively. Whereas, patients scored all lower than 2 on foot inspection, blood glucose monitoring and blood glucose monitoring prescribed by the doctor. The control rate of HbA1c was 48.77%. Results from multivariate regression analysis showed that patients with disease course longer than 5 years, smoking behavior, no equipping blood glucose meter, using insulin, and less or no proper diet were less likely to reach the HbA1c control standard. CONCLUSION Community type 2 diabetes patients show better performance in rational drug use, proper diet and physical exercise, but poor performance in foot inspection, blood glucose monitoring and monitoring prescribed by the doctor. Proper diet is an important factor for HbA1c control. It is suggested to strengthen the guidance of patients’ self-management knowledge and skills to promote glucose control.
文章编号:3202410005     中图分类号:R587.1    文献标志码:
基金项目:
Author NameAffiliation
  
引用文本:


用微信扫一扫

用微信扫一扫