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A nationwide survey of diabetes education, self-management and glycemic control in patients with type 2 diabetes in China

GUO Xiao-hui YUAN Li LOU Qing-qing SHEN Li SUN Zi-lin ZHAO Fang DAI Xia HUANG Jin YANG Hui-ying

中华医学杂志（英文版）2012，Vol.125Issue(23)：4175-4180,6.

中华医学杂志（英文版）2012，Vol.125Issue(23)：4175-4180,6.DOI:10.3760/cma.j.issn.0366-6999.2012.23.003

A nationwide survey of diabetes education, self-management and glycemic control in patients with type 2 diabetes in China

GUO Xiao-hui ¹YUAN Li ²LOU Qing-qing ³SHEN Li ⁴SUN Zi-lin ⁵ZHAO Fang ⁶DAI Xia ⁷HUANG Jin ⁸YANG Hui-ying⁹

作者信息

1. Department of Endocrinology, Peking University First Hospital,Beijing 100034, China
2. Department of Endocrinology, West China Medical School, West China Hospital, Sichuan University, Chengdu 610041, China
3. Jiangsu Province Hospital on Integration of Chinese and Western Medicine, Nanjing, China
4. Beijing Tsinghua Hospital, China
5. Institute of Diabetes, Zhongda Hospital, Medical School, Southeast University, Nanjing, Jiangsu 210009, China
6. Department of Endocrinology, China-Japan Friendship Hospital,Beijing 100029, China
7. Department of Endocrinology, First Affiliated Hospital, Guangxi Medical University, Nanning, Guangxi 530021, China
8. Nursing Department, Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China
9. Department of Endocrinology and Metabolism, First Affiliated Hospital of Kunming Medical College, Kunming, Yunnan 650032,China
折叠

摘要

Abstract

Background Diabetes management could be improved by diabetes education,through influencing attitudes towards diabetes,knowledge and behaviors of patients.The purpose of this study was to characterize the impact of diabetes education on glycemic control,and to assess the attitude,knowledge and self-care behavior in patients with type 2 diabetes in China.Methods This questionnaire-based survey was conducted in 50 medical centers across China from April to July of 2010.The patients with type 2 diabetes were eligible for the study.The information of glycemic control and diabetes education was collected.The diabetes attitude scale-3 formulae,a questionnaire of diabetes knowledge and Summary of Diabetes Self-care Activities scale were used to assess attitude,knowledge and the self-care of patients,respectively.Results Among the 5961 eligible respondents (3233 males; mean age (59.50±12.48) years; mean hemoglobin A1c (HbA1c) (8.27±2.23)％),most patients (79.8％) considered themselves educated on diabetes.Compared with patients without diabetes education,their educated counterparts showed significant lower value of HbA1c,after controlling for age,gender,body mass index and duration of diabetes (P ＜0.01).The patients who received diabetes education also performed significant higher scores on attitude,knowledge and self-care than their uneducated counterparts.Patients with lower income or education level tended to have higher glucose levels,and showed lower percentage of patients received diabetic education.Conclusions Chinese patients with diabetes education achieved better glycemic control than un-educated patients.Our study indicates effort is required to provide professional education to patients,with emphasis on lower income and lower education level populations.

关键词

diabetes education/self-management/glycemic control

Key words

diabetes education/self-management/glycemic control

引用本文复制引用

GUO Xiao-hui,YUAN Li,LOU Qing-qing,SHEN Li,SUN Zi-lin,ZHAO Fang,DAI Xia,HUANG Jin,YANG Hui-ying..A nationwide survey of diabetes education, self-management and glycemic control in patients with type 2 diabetes in China[J].中华医学杂志（英文版）,2012,125(23):4175-4180,6.

基金项目

This study was supported by a grant from Novo Nordisk (China)Pharmaceutical Co.,Ltd (NNCP). （China）

中华医学杂志（英文版）

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ISSN：0366-6999

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