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目的了解南宁市兴宁区接受社区管理满1年以上的糖尿病患者血糖控制情况及其影响因素,为改善管理措施提供参考依据。方法在辖区内已经接受基本公共卫生服务管理的2型糖尿病患者中,随机抽取369例为本次研究的对象。调查其患病情况、糖尿病相关知识、生活行为方式、接受糖尿病管理服务以及身体测量等内容。结果城市患者血糖监测频率高于农村患者(P<0.01);城市患者发生并发症(57.1%)的高于农村患者(40.0%)(P<0.01);城市患者对血糖正常值、糖尿病常见症状、糖尿病相关危险因素、糖尿病常见并发症的知晓率均高于农村患者(P<0.01);服药依从性上,城市患者(75.7%)好于农村患者(36.7%);城市患者血糖控制率(55.0%)低于农村患者(67.0%)。结论在该区慢性病社区管理工作中,城市患者知晓率、监测频率和治疗依从性更高;患者不良健康行为和血糖控制方面,仍未取得满意效果。为了提高患者的健康水平和生活质量,达到慢性病管理的最终效果,仍需要完善当前的管理模式。
Objective To understand the glycemic control and its influencing factors in diabetic patients receiving community management in Xingning District of Nanning City for more than one year and provide reference for improving management measures. Methods Among 2 type 2 diabetic patients who have received basic public health service management in the area, 369 cases were randomly selected as the object of this study. Investigate their illness, diabetes-related knowledge, lifestyle behavior, to accept diabetes management services and body measurements and so on. Results The frequency of blood glucose monitoring in urban patients was higher than that in rural areas (P <0.01). Complications in urban patients (57.1%) were higher than those in rural areas (40.0%) (P <0.01) (75.7%) were better than those in rural areas (36.7%). The rate of blood glucose control in urban patients was significantly higher than that in rural areas (P0.05) 55.0%) than rural patients (67.0%). Conclusion In the community management of chronic diseases in this area, awareness of urban patients, monitoring frequency and treatment adherence are higher; patients’ adverse health behaviors and blood sugar control have not yet achieved satisfactory results. In order to improve the patient’s health and quality of life and to achieve the ultimate effect of chronic disease management, the current management model still needs to be improved.