摘要
目的分析广州市红山街社区2型糖尿病服务包对患者血糖控制的现状及影响因素。方法选取该社区卫生服务中心辖区内6个居委的189例2型糖尿病患者完成问卷调查、体格检查与生化检查、生活质量调查,分为干预组和对照组,以血糖是否控制作为因变量,进行二分类Logistic回归分析。结果单因素的分析结果显示,两组患者糖化血红蛋白与管理模式比较,差异有统计学意义(P<0.05);多因素分析结果显示,管理模式、糖化血红蛋白、教育与年龄是血糖控制的高危影响因素(P<0.05)。结论广州市红山街社区2型糖尿病服务包对患者血糖控制具有积极作用,在这种管理模式下,糖化血红蛋白、教育与年龄是血糖控制的高危影响因素。
Objective To analyze the status and influencing factors of glycemic control based on type 2 diabetes service package in Hongshan street community in Guangzhou.Methods 189 patients with type 2 diabetes mellitus from 6 community health service committees were selected to complete the questionnaires,physical examinations,biochemical tests,and quality of life surveys.Then they were divided into the intervention group and the control group,blood glucose control was used as the dependent variable,and binary Logistic regression was used.Results Univariate analysis showed that there was only significant difference between the 2 groups on glycated hemoglobin and management model(P<0.05);multivariate analysis showed that management model,glycated hemoglobin,education and age were the high risk factors affecting blood sugar control(P<0.05).Conclusion The type 2 diabetes service packages in Hongshan street community in Guangzhou have a positive effect on blood sugar control.Under this management mode,glycosylated hemoglobin,education and age are the high-risk factors affecting blood sugar control.
作者
黄成凤
申丽君
路越
孙刚
HUANG Chengfeng;SHEN Lijun;LU Yue;SUN Gang(Institute of Hospital Management,Tsinghua University,Shenzhen,Guangdong 518055,China;Department of Health Management,School of Health Management,Southern Medical University,Guangzhou,Guangdong 510515,China)
出处
《重庆医学》
CAS
2019年第19期3337-3340,共4页
Chongqing medicine
基金
国家社会科学基金项目(16BGL184)
关键词
红山模式
糖尿病
2型
血糖
影响因素分析
practice patterns
diabetes mellitus,type 2
blood glucose
root cause analysis