摘要
目的:评价我国山东及江苏两省社区糖尿病患者血糖监测情况及影响因素。方法:研究为横断面调查,2014年10月至11月,在山东及江苏两省的2个城市4个乡镇中的社区卫生服务站随机抽取2型糖尿病患者进行糖尿病管理方面的问卷调查。结果:收回有效问卷1 508份。仅有17.2%的城市患者和3.3%的农村患者每周测一次以上血糖。城市糖尿病患者中,糖尿病史10年以上、高中以上学历、胰岛素治疗及定期接受糖尿病随访的患者测量血糖频率相对高;农村糖尿病患者中,男性、接受胰岛素治疗的患者能相对好的监测血糖。结论:所调查社区糖尿病患者血糖监测率较低;尚需加强基层尤其是农村地区糖尿病居民的健康教育以提高糖尿病患者对于血糖监测的重视程度。
Objective: To evaluate the current situation and influencing factors of blood glucose monitoring in patients with type 2 diabetes mellitus (T2DM) in two provinces of Shandong and Jiangsu. Methods: The cross-sectional investigation was conducted between October 2014 and November 2014. Questionnaire was used to investigate diabetes management among patients with T2DM randomly selected from community health stations in two cities and four townships located in Shandong and Jiangsu province in China. Results: A total of 1 508 diabetes subjects (male 605, female 903 ) were finally investigated. There were 129 urban patients ( 17. 2% ) and 23 rural patients (3.0%) performed blood glucose monitoring more than 1 times per week. The multivariate analysis revealed that history of diabetes above 10 years, high school degree or above, insulin treat- ment, and regular follow-up were significantly associated with high frequency of blood glucose monitoring in city patients ; while male, insulin treatment were significantly associated with high frequency of blood glucose monitoring in rural patients. Conclusion : the status of monitoring of blood glucose in patients with T2DM in commu- nity is poor. It is necessary to strengthen the health education in communities, especially in rural areas, so as to strengthen the importance of blood glucose monitoring.
出处
《心肺血管病杂志》
2017年第5期341-344,共4页
Journal of Cardiovascular and Pulmonary Diseases
基金
美国疾病预防与控制中心资助(5 U19 GH000636)
关键词
2型糖尿病
血糖监测
社区
Type 2 diabetes mellitus
Blood glucose monitoring
Community