摘要
目的了解北京市朝阳区城镇和农村社区2型糖尿病患者血糖监测现状及其影响因素,为提高糖尿病患者自我管理水平提供依据。方法采用单纯随机抽样方法在北京市朝阳区4个社区共抽取610例2型糖尿病患者。通过面对面问卷调查方法收集资料,采用二元Logistic回归分析自我血糖监测(SMBG)影响因素。结果共有78.5%的社区糖尿病患者进行SMBG,城镇(83.8%)高于农村(73.1%)(P<0.001),SMBG频率达标率仅为4.8%,城乡差异无统计学意义(P>0.05)。有46.9%的患者进行HbA1c监测,城镇(64.0%)高于农村(29.8%)(P<0.001)。年龄、家庭人均月收入、病程、自备血糖仪及自我效能得分与城镇社区患者SMBG行为有关,病程为1年以下(OR=0.61,95%CI:0.38~0.98)、有自备血糖仪(OR=3.09,95%CI:1.51~6.30)及自我效能得分在88分以上(OR=7.30,95%CI:2.46~21.61)是糖尿病患者进行SMBG独立的影响因素。病程、医疗保险类型、使用降糖药/胰岛素治疗、自备血糖仪、定期随访及自我效能得分与农村社区患者SMBG行为有关,病程1年以下(OR=0.59,95%CI:0.35~0.99)、有自备血糖仪(OR=7.80,95%CI:3.80~16.10)及使用降糖药/胰岛素治疗(ORR=4.71,95%CI:1.08~20.50)是糖尿病患者进行SMBG独立的影响因素。结论北京市朝阳区社区糖尿病患者血糖监测及控制情况不理想,SMBG频率达标率低。应重点对新发糖尿病患者进行健康教育,建议糖尿病患者自备血糖仪,对患者提供糖尿病管理知识和技能指导,提高自我效能,促进血糖监测行为。
Objective To understand the status of blood glucose monitoring and its influencing factors among type2 diabetes patients in city and rural areas in Chaoyang District of Beijing,and provide the basis for improving diabetes self-management.Methods From November 2017 to January 2018,610 patients with type 2 diabetes were recruited from 4 communities in Beijing Chaoyang District,and a simple random sampling method was conducted.Information was collected by face-to-face questionnaire survey.Logistic regression was used to analyze the influence factors of self-monitoring of blood glucose(SMBG)in city and rural.Results 78.5%of the participants had SMBG,the level in city(83.8%)was higher than that in rural(73.1%,P<0.001).The rate of regularly SMBG was only 4.8%,4.4%in city while 5.3%in countries(P>0.05).46.9%of the participants had HbA1 cmonitoring,the level in city(64.0%)was higher than that in rural(30.0%,P<0.001).The control rate of FPG and HbA1 c was 40.9%and 51.1%,respectively.Correlation analysis results showed that time length of disease(OR=0.61,95%CI:0.38-0.98),self-efficacy scores(OR=7.30,95%CI:2.46-21.61)and owned glucose meter(OR=3.09,95%CI:1.51-6.30)were independent influence factors of SMBG behavior in city.Time length of disease(OR=0.59,95%CI:0.35-0.99),owned glucose meter(OR=7.80,95%CI:3.80-16.10)and the used medications/insulin therapy(OR-4.71,95%CI:1.08-20.50)were independent influence factors of SMBG behavior in rural area Conclusion The blood glucose monitoring situation of diabetes patients wasn’t ideal in Chaoyang District of Beijing,the rate of regularly SMBG was low.It’s important to focus on the health education of new onset diabetes and to improve the self-efficacy in order to promote the patient’s blood glucose monitoring behavior.
作者
吴延莉
李剑虹
申涛
韩晓燕
侯亚楠
WU Yan-li;LI Jian-hong;SHEN Tao;HAN Xiao-yan;HOU Ya-nan(National Center for Chronic and Non-communicable Disease Control and Preventiony Chinese Center for Disease Control and Prevention,Beijing 100050,China)
出处
《中国健康教育》
北大核心
2019年第7期601-606,共6页
Chinese Journal of Health Education
基金
国家重点研发计划项目(2018YFC1313904)
关键词
2型糖尿病患者
自我血糖监测
影响因素
Type 2 diabetes patients
Self-monitoring of blood glucose
Influencing factors
