摘要
目的了解南宁市城市和农村2型糖尿病患者血糖控制的影响因素,为开展针对性的干预措施提供科学依据。方法采用多阶段随机抽样方法,对2018年南宁市1个城区300例及1个县区200例2型糖尿病患者进行问卷调查和血糖检测。采用SPSS 24.0软件进行分析,并利用LASSO回归模型分析糖尿病患者血糖控制影响因素。结果城市患者血糖控制达标比例(45.61%)高于农村患者(29.65%),差异有统计学意义(χ2=12.719,P<0.05)。血糖控制达标组每天锻炼身体、门诊随访方式、规律使用降血糖药物、血压控制达标、糖尿病防治知识回答正确>6题的比例均高于不达标组,差异均有统计学意义(P<0.05)。最小绝对值收敛和选择算子回归结果显示:无论是城市还是农村,糖尿病病程≥10年(β分别为0.30、0.07)、一年内吸烟(β分别为0.23、0.27)、不规律使用降糖药物(β分别为0.29、0.36)、糖尿病防治知识回答正确≤6题(β分别为0.21、0.08)均是2型糖尿病患者血糖控制的危险因素,而一年内随访次数<4次(β分别为-0.44、-0.81)是保护因素。除城镇医疗保险外的其他医疗保险、每天检测血糖频率不足1次是城市患者血糖控制的危险因素(β分别为0.14、0.15),但却是农村患者的保护因素(β分别为-0.13、-0.87);初中及以上文化程度是城市患者血糖控制的保护因素(β=-0.22),但却是农村患者的危险因素(β=0.40)。除此之外,城市患者血糖控制的危险因素还包括一年内饮酒(β=0.07);农村患者血糖控制的危险因素还包括已婚(β=0.08),保护因素包括无糖尿病家族史(β=-1.66)。结论南宁市2型糖尿病城市患者血糖控制情况优于农村患者,并且城乡患者血糖控制的影响因素不同,应根据城市和农村不同地区采取针对性措施,从而改善患者健康生活方式和血糖控制行为。
Objective To understand the factors affecting blood glucose control among urban and rural patients with type 2 diabetes mellitus in Nanning City,and to provide a scientific basis for implementing targeted intervention measures.Methods Using multi-stage random sampling method,questionnaire survey and blood glucose testing were carried out among 300 patients with type 2 diabetes mellitus from one urban district and 200 ones from one country in Nanning City in 2018.SPSS 24.0 software was used for the analysis,and LASSO regression model was used to identify the factors influencing blood glucose control in the patients with type 2 diabetes mellitus.Results The proportion of reaching blood glucose control target was higher in urban patients(45.61%)than in rural ones(29.65%),and the differences were statistically significant(χ2=12.719,P<0.05).The proportions of daily physical exercise,mode of outpatient follow-up,using hypoglycemic medications regularly,reaching blood pressure control target and correctly answering>6 questions about diabetes prevention knowledge were all higher in the group reaching blood glucose control target than in the group not reaching blood glucose control target,with statistically significant differences(all P<0.05).LASSO regression results showed that whether in cities or rural areas,diabetes duration≥10 years(β=0.30,β=0.07),smoking within one year(β=0.23,β=0.27),using hypoglycemic medications irregularly(β=0.29,β=0.36)and correctly answering≤6 questions about diabetes prevention knowledge(β=0.21,β=0.08)were all the risk factors for blood glucose control in the patients with type 2 diabetes mellitus,whereas the follow-up frequency in one year<4 times(β=-0.44,β=-0.81)was the protective factor.All medical insurance except urban medical insurance and the frequency of blood glucose testing less than once a day were the risk factors for blood glucose control in urban patients(β=0.14,β=0.15),but they were the protective factors for rural patients(β=-0.13,β=-0.87).The education leve
作者
周吉
杨绍湖
吕应楠
ZHOU Ji;YANG Shao-hu;LYU Ying-nan(Nanning Municipal Center for Disease Control and Prevention,Nanning,Guangxi 530023,China;Center far Genomic and Personalized Medicine of Guangxi Medical University,Nannning,Guangxi 530021,China)
出处
《实用预防医学》
CAS
2021年第7期785-791,共7页
Practical Preventive Medicine
基金
南宁市培养新世纪学术和技术带头人专项资金资助项目(2018007)。
关键词
2型糖尿病
城乡患者
血糖控制
影响因素
type 2 diabetes mellitus
urban and rural patients
blood glucose control
influencing factor
