中国全科医学Issue(33)：4039-4042,4.DOI:10.3969/j.issn.1007-9572.2015.33.005
社区2型糖尿病患者自我血糖监测现状及影响因素分析
Status of and Influencing Factors for the Self-monitoring of Blood Glucose in Type 2 Diabetes
摘要
Abstract
Objective To investigate and discuss the current status of and influencing factors for self - monitoring of blood glucose(SMBG)in patients with type 2 diabetes in community. Methods In January 2014,using random number table method,we enrolled 245 type 2 diabetes patients who accorded with the inclusion and exclusion criteria and were registered and administrated by Ruijinerlu Community Health Service Center of Huangpu District in Shanghai. According to SMBG criteria,we divided patients into standard - reaching group and non - standard - reaching group. We recorded age,gender,education level, average monthly income,marital status,the disease course of diabetes,types of medical insurance,the know - how of SMBG, self - prepared blood glucose monitor,price of test paper,convenience of blood glucose test,necessity of regular SMBG, education on diabetes,score of DSES,and the influencing factors for SMBG were analyzed. Results There were 32(13. 1% ) patients in standard - reaching group and 213(86. 9% )patients in non - standard - reaching group. The two groups were significantly different(P < 0. 05)in education level,type of medical insurance,the know how of SMBG,self - prepared blood glucose monitor and score of DSES;the two groups were not significantly different( P > 0. 05)in age,gender composition, average monthly income,marital status,disease course of diabetes,price of test paper on blood glucose,convenience of blood glucose test,necessity of regular SMBG and education on diabetes. Multivariate Logistic regvession analysis showed that the type of medical insurance and know - how of SMBG were independent influencing factor for SMBG(P < 0. 05). Conclusion The standard - reaching rate of SMBG in patients with type 2 diabetes in community is low. The education of SMBG know - how should be promoted,the expenditure on blood glucose monitor should be lowered,so as to improve the standard - reaching rate of SMBG.关键词
糖尿病,2 型/社区卫生中心/血糖自我监测/影响因素分析/问卷调查Key words
Diabetes mellitus,type 2/Community health centers/Blood glucose self - monitoring/Root cause analysis/Questionnaires分类
医药卫生引用本文复制引用
魏魏,马龙飞,沈世蜂,乐嘉宜..社区2型糖尿病患者自我血糖监测现状及影响因素分析[J].中国全科医学,2015,(33):4039-4042,4.基金项目
上海市黄浦区卫生系统科研课题资助 （）
