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目的探讨上海社区2型糖尿病患者自我血糖监测(SMBG)的现状及影响因素。方法 2014年1月至2015年12月期间从该社区卫生服务中心在册管理的患者中筛选符合纳入与排除标准的2型糖尿病患者共875例进行问卷调查分析,根据SMBG与否分为SMBG组和N-SMBG组。结果 SMBG组仅为163人(18.63%),N-SMBG组高达712人(81.37%)。影响因素有患者的教育程度、家庭月收入、是否独居、糖尿病家族史、合并症、治疗情况(是否胰岛素)以及自觉血糖达标情况。而治疗情况(是否胰岛素)、自觉血糖达标情况为SMBG的独立影响因素。自测血糖排名前3的原因是:控制血糖的必需手段(90.18%);家庭及朋友的督促(89.57%);医生的建议(76.07%);未进行血糖自测排名前3的原因是:经济原因(84.41%);SMBG不准确(82.44%);医院检查血糖就足够(80.48%)。结论上海社区2型糖尿病患者的SMBG的监测率仍然低下,且存在认识不足现象。应加强自我血糖监测教育,降低血糖监测费用,提高监测率。
Objective To investigate the status and influencing factors of self-monitoring of blood glucose (SMBG) in type 2 diabetes in Shanghai community. Methods From January 2014 to December 2015, a total of 875 patients with type 2 diabetes who met the inclusion and exclusion criteria were screened from patients managed by this community health service center for questionnaire analysis. According to SMBG or not, they were divided into SMBG group and N-SMBG group. Results Only 163 people (18.63%) in the SMBG group and 712 (81.37%) in the N-SMBG group. Influencing factors are patient’s educational level, family monthly income, whether living alone, family history of diabetes, complications, treatment (whether insulin) and conscious blood sugar compliance. The treatment (whether insulin), conscious of blood glucose compliance as independent factors SMBG. Self-test blood glucose ranked the top 3 reasons are: the necessary means of controlling blood sugar (90.18%); family and friends to supervise (89.57%); the doctor’s advice (76.07%); not self-rated glucose 3 reasons: Economic reasons (84.41%); SMBG inaccurate (82.44%); hospital blood sugar inspection is sufficient (80.48%). Conclusion The prevalence of SMBG in type 2 diabetic patients in Shanghai community is still low, and there is a lack of understanding. Should strengthen self-monitoring of blood glucose, blood glucose monitoring costs and improve monitoring.