摘要
【目的】分析XX社区糖尿病患者血糖控制不佳的影响因素,观察社区个体化血糖控制策略在社区糖尿病患者管理中的应用价值。【方法】选择2016年2月至2018年2月XX社区、XXX社区、XX社区497例糖尿病患者进行调查,Logistic回归分析影响糖尿病患者血糖控制率的相关因素。将血糖控制不佳患者纳入血糖控制管理对象,采用随机原则将患者分为两组,研究组患者采用社区个体化血糖控制策略,对照组患者采用传统血糖管理,对比两组患者血糖控制效果。【结果】XX社区糖尿病患者血糖控制达标210例,达标率42.25%,Logistic回归分析年龄(OR=2.41,95%CI:1.139~5.099,P=0.021)、合并高血压(OR=2.433,95%CI:1.203~4.961,P=0.013)、饮食控制(OR=2.641,95%CI:1.455~4.794,P=0.001)、文化程度(OR=2.894,95%CI:1.235~6.782,P=0.014)、糖尿病病程(OR=7.357,95%CI:2.012~26.901,P=0.002)是影响XX社区2型糖尿病患者血糖控制不良的危险因素。研究组患者干预后饮食控制、遵医用药、适度锻炼、定期检查遵医行为评分高于对照组(P<0.05),空腹血糖(fasting plasma glucose,FPG)、餐后2 h血糖(two hours postprandial blood glucose,2 h PG)、糖化血红蛋白(glycosylated hemoglobin,HbA1c)水平低于对照组(P<0.05)。【结论】XX社区糖尿病患者血糖控制现状较差,年龄、合并高血压、饮食、文化程度、糖尿病病程是影响血糖控制水平的主要因素,社区个体化血糖控制策略可提高糖尿病患者依从性和血糖控制水平。
【Objective】To analyze the influencing factors of poor blood glucose control in the diabetic patients of XX community,and observe the application value of community-based individualized blood glucose control strategies in community diabetes management.【Methods】From February 2016 to February 2018,497 patients with diabetes in XX community,XXX community and XX community were selected for investigation.Logistic regression analysis was used to analyze the factors affecting the blood glucose control rate in diabetic patients.Patients with poor glycemic control were included in the glycemic control management subjects.They were divided into two groups according to the random principle.The community individualized glycemic control strategy was used in the study group,and the traditional blood glucose management was used in the control group used.The glycemic control effect was compared between the two groups.【Results】There were 210 diabetes patients in XX community reaching the standard of blood glucose control,and the rate of compliance was 42.25%.Logistic regression analysis age[OR=2.41,95%CI:1.139-5.099,P=0.021],combined hypertension[OR=2.433,95%CI:1.203-4.961,P=0.013],diet control[OR=2.641,95%CI:1.455-4.794,P=0.001],education level[OR=2.894,95%CI:1.235-6.782,P=0.014],course of diabetes[OR=7.357,95%CI:2.012-26.901,P=0.002]were risk factors affecting poor blood glucose control in patients with type 2 diabetes in the XX community.The 143 cases in the study group had higher dietary control,compliance with medical drugs,moderate exercise and regular check-ups after intervention,and the scores were higher than those in the control group(144 cases)(P<0.05).The levels of fasting plasma glucose(FPG),two hours postprandial blood glucose(2 h PG),and glycosylated hemoglobin(HbA1 c)were lower than those in the control group(P<0.05).【Conclusion】The current status of blood glucose control in diabetic patients in the XX community is poor.Age,combined hypertension,diet,education level and diabetes course are the main
作者
于玲歌
YU Ling-ge(The Sixth Medical Center of PLA General Hospital,Beijing 100048,China)
出处
《武警后勤学院学报（医学版）》
CAS
2020年第12期38-42,共5页
Journal of Logistics University of PAP（Medical Sciences）
关键词
血糖控制策略
糖尿病
管理
影响因素
Glycemic control strategy
Diabetes
Management
Influencing factors
