中国全科医学
中國全科醫學
중국전과의학
Chinese General Practice
2015年
33期
4039-4042
,共4页
魏魏%马龙飞%沈世蜂%乐嘉宜
魏魏%馬龍飛%瀋世蜂%樂嘉宜
위위%마룡비%침세봉%악가의
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
糖尿病,2 型%社區衛生中心%血糖自我鑑測%影響因素分析%問捲調查
당뇨병,2 형%사구위생중심%혈당자아감측%영향인소분석%문권조사
Diabetes mellitus,type 2%Community health centers%Blood glucose self - monitoring%Root cause analysis%Questionnaires
目的：探讨社区2型糖尿病患者自我血糖监测（SMBG）现状及相关影响因素。方法2014年1月从上海市瑞金二路街道社区卫生服务中心在册管理的糖尿病患者中以随机数字表法抽取符合纳入与排除标准的2型糖尿病患者245例，根据患者 SMBG 判定标准将患者分为达标组和不达标组。记录患者年龄、性别、文化程度、月平均收入、婚姻状况、糖尿病病程、医疗保险类型、SMBG 技能、自备血糖监测仪、试纸价格、血糖测试便利性、定期 SMBG必要性、糖尿病教育、糖尿病自我效能量表评分，并进行 SMBG 影响因素分析。结果达标组32例（13.1％），不达标组213例（86.9％）。两组患者文化程度、医疗保险类型、有无 SMBG 技能、有无自备血糖监测仪、糖尿病自我效能量表评分比较，差异有统计学意义（P ＜0.05）；两组患者年龄、性别构成、月平均收入、婚姻状况、糖尿病病程、血糖试纸价格、血糖测试便利性、定期 SMBG 必要性、糖尿病教育比较，差异无统计学意义（P ＞0.05）。多因素 Logistic回归分析结果显示，医疗保险类型、SMBG 技能为 SMBG 的独立影响因素（P ＜0.05）。结论社区2型糖尿病患者SMBG 达标率欠佳，应加强2型糖尿病患者 SMBG 技能教育，降低血糖监测费用，提高 SMBG 达标率。
目的：探討社區2型糖尿病患者自我血糖鑑測（SMBG）現狀及相關影響因素。方法2014年1月從上海市瑞金二路街道社區衛生服務中心在冊管理的糖尿病患者中以隨機數字錶法抽取符閤納入與排除標準的2型糖尿病患者245例，根據患者 SMBG 判定標準將患者分為達標組和不達標組。記錄患者年齡、性彆、文化程度、月平均收入、婚姻狀況、糖尿病病程、醫療保險類型、SMBG 技能、自備血糖鑑測儀、試紙價格、血糖測試便利性、定期 SMBG必要性、糖尿病教育、糖尿病自我效能量錶評分，併進行 SMBG 影響因素分析。結果達標組32例（13.1％），不達標組213例（86.9％）。兩組患者文化程度、醫療保險類型、有無 SMBG 技能、有無自備血糖鑑測儀、糖尿病自我效能量錶評分比較，差異有統計學意義（P ＜0.05）；兩組患者年齡、性彆構成、月平均收入、婚姻狀況、糖尿病病程、血糖試紙價格、血糖測試便利性、定期 SMBG 必要性、糖尿病教育比較，差異無統計學意義（P ＞0.05）。多因素 Logistic迴歸分析結果顯示，醫療保險類型、SMBG 技能為 SMBG 的獨立影響因素（P ＜0.05）。結論社區2型糖尿病患者SMBG 達標率欠佳，應加彊2型糖尿病患者 SMBG 技能教育，降低血糖鑑測費用，提高 SMBG 達標率。
목적：탐토사구2형당뇨병환자자아혈당감측（SMBG）현상급상관영향인소。방법2014년1월종상해시서금이로가도사구위생복무중심재책관리적당뇨병환자중이수궤수자표법추취부합납입여배제표준적2형당뇨병환자245례，근거환자 SMBG 판정표준장환자분위체표조화불체표조。기록환자년령、성별、문화정도、월평균수입、혼인상황、당뇨병병정、의료보험류형、SMBG 기능、자비혈당감측의、시지개격、혈당측시편리성、정기 SMBG필요성、당뇨병교육、당뇨병자아효능량표평분，병진행 SMBG 영향인소분석。결과체표조32례（13.1％），불체표조213례（86.9％）。량조환자문화정도、의료보험류형、유무 SMBG 기능、유무자비혈당감측의、당뇨병자아효능량표평분비교，차이유통계학의의（P ＜0.05）；량조환자년령、성별구성、월평균수입、혼인상황、당뇨병병정、혈당시지개격、혈당측시편리성、정기 SMBG 필요성、당뇨병교육비교，차이무통계학의의（P ＞0.05）。다인소 Logistic회귀분석결과현시，의료보험류형、SMBG 기능위 SMBG 적독립영향인소（P ＜0.05）。결론사구2형당뇨병환자SMBG 체표솔흠가，응가강2형당뇨병환자 SMBG 기능교육，강저혈당감측비용，제고 SMBG 체표솔。
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.
