CAJ | 학술논문

目的：探讨北京市社区2型糖尿病患者运动干预的影响因素。方法选取于2014年1—3月加入北京平谷社区卫生服务中心和怀柔社区卫生服务中心健康管理小组的2型糖尿病患者271例。采用自行设计的调查表收集患者的一般资料，包括性别、年龄、文化程度、病程及合并症等；同时采用标准测量法，测量患者的身体指标，包括血压、心率等。对患者进行运动干预1年，采用课题组研发的运动监测腕表记录其每日运动时长。结果不同年龄、病程、视网膜病变、白内障合并情况、高血压合并情况、收缩压、心率患者的每日运动时长比较，差异有统计学意义（P﹤0.05）；不同性别、文化程度、手足麻木合并情况、高脂血症合并情况患者的每日运动时长比较，差异无统计学意义（P﹥0.05）。多元线性回归分析显示，年龄、病程、视网膜病变、白内障、高血压、收缩压、心率对患者每日运动时长的影响有统计学意义（ P﹤0.05）。结论年龄、病程、视网膜病变、白内障、高血压、收缩压、心率是患者运动干预的影响因素，社区运动干预应有针对性地提高患者依从性，确保干预有效性。
목적：탐토북경시사구2형당뇨병환자운동간예적영향인소。방법선취우2014년1—3월가입북경평곡사구위생복무중심화부유사구위생복무중심건강관리소조적2형당뇨병환자271례。채용자행설계적조사표수집환자적일반자료，포괄성별、년령、문화정도、병정급합병증등；동시채용표준측량법，측량환자적신체지표，포괄혈압、심솔등。대환자진행운동간예1년，채용과제조연발적운동감측완표기록기매일운동시장。결과불동년령、병정、시망막병변、백내장합병정황、고혈압합병정황、수축압、심솔환자적매일운동시장비교，차이유통계학의의（P﹤0.05）；불동성별、문화정도、수족마목합병정황、고지혈증합병정황환자적매일운동시장비교，차이무통계학의의（P﹥0.05）。다원선성회귀분석현시，년령、병정、시망막병변、백내장、고혈압、수축압、심솔대환자매일운동시장적영향유통계학의의（ P﹤0.05）。결론년령、병정、시망막병변、백내장、고혈압、수축압、심솔시환자운동간예적영향인소，사구운동간예응유침대성지제고환자의종성，학보간예유효성。
Objective To investigate the influencing factors for the exercise intervention on type 2 diabetes patients in Beijing. Methods We enrolled 271 type 2 diabetes patients who joined the health management teams organized by Pinggu Community Health Service Center and Huairou Community Health Service Center from January to March in 2014. A self-designed questionnaire was used to collect the general data of patients including gender,age,degree of education,course of disease and complications;standard measurement method was employed to measure physical indicators of the patients including blood pressure,heart rate,etc. One-year exericise intervention was undertaken,during which the daily exercise length was recorded by an exercise monitor watch developed by the research team. Results Significant differences existed in daily exercise length among patients with different age,course of disease,retinopathy,cataract,hypertension,systolic pressure and heart rate( P﹤0. 05 for all );no significant differences existed in daily exercise length among patients with different gender, degree of education,numbness of hands and feet and hyperlipemia(P﹥0. 05 for all). Multivariate linear regression analysis showed that age,course of disease,retinopathy,cataract,hypertension,systolic pressure and heart rate had significant influence on daily exercise length(P﹤0. 05). Conclusion Age,course of disease,retinopathy,cataract,hypertension,systolic pressure and heart rate are influencing factors for exercise intervention on patients. Community exercise intervention should improve the compliance of patients accordingly,in order to ensure the effectiveness of intervention.