同济大学学报（医学版）2025，Vol.46Issue(5)：751-757,7.DOI:10.12289/j.issn.2097-4345.24474
上海市普陀区老年2型糖尿病血糖控制不佳患者家庭亲密度和适应性对血糖管理效果的前瞻性队列研究
A prospective cohort study on the influence of family intimacy and adaptability on glycemic control in elderly patients with poorly controlled type 2 diabetes mellitus in Putuo district,Shanghai
摘要
Abstract
Objective To analyze the impact of family intimacy and adaptability on glycemic control in elderly patients with type 2 diabetes mellitus(T2DM).Methods A total of 650 elderly patients with poorly controlled T2DM who sought medical care at the Shiquan Community Health Service Center in Putuo District,Shanghai,were selected as subjects.The patients were managed according to the glycemic control guidelines outlined in the Chinese Guidelines for the Diagnosis and Treatment of Elderly Diabetes(2021 Edition).Using the Chinese version of the Family Adaptability and Cohesion Evaluation Scale(FACES),the participants were classified into three groups:balanced,intermediate,and extreme families.The primary outcome was glycemic control,including fasting blood glucose(FBG)and glycated hemoglobin(HbA1c)levels.Follow-ups were conducted at 0,3,6,9,and 12 months to analyze the impact of family intimacy and adaptability on glycemic control.Results A total of 637 elderly patients with T2DM completed the one-year follow-up.The patients were categorized into balanced(233),intermediate(339),and extreme(65)family types.During the follow-up period,a significant downward trend was observed in HbA1c and FBG levels across all family types.Furthermore,compared to baseline,significant improvements in glycemic control were observed at the end of the follow-up in the balanced and intermediate family groups,with a significantly higher proportion of patients achieving target FBG and HbA1c levels(all P＜0.05).However,no significant changes were observed in the extreme family group(both P＞0.05).Compared to patients from balanced families,those from extreme families had a 1.139-fold increased risk of poor HbA1c management and a 0.460-fold increased risk of poor FBG management.Conclusion Family intimacy and adaptability have a significant impact on glycemic control in the elderly patients with T2DM.The role of family support in the daily management and glycemic control in patients with diabetes should be emphasized.关键词
2型糖尿病/家庭亲密度/家庭适应性/血糖控制/老年人Key words
type 2 diabetes mellitus/family intimacy/family adaptability/glycemic control/elderly分类
临床医学引用本文复制引用
黄欣路,唐柳娜,赵蕾,仇宝华,黄益民..上海市普陀区老年2型糖尿病血糖控制不佳患者家庭亲密度和适应性对血糖管理效果的前瞻性队列研究[J].同济大学学报（医学版）,2025,46(5):751-757,7.基金项目
2022年度上海市普陀区卫生健康系统科技创新项目(ptkwws202237) （ptkwws202237）
