南汇区2型糖尿病患者知信行现状及影响因素调查分析  

Investigation on Knowledge,Attitudes and Behaviors of Diabetic Patients and Influential Factors

作　　者：傅益飞 彭云[1] 瞿纯洁[1] 陈晓玲[1] 李锐[2] 

机构地区：[1]上海市南汇区疾病预防控制中心,上海201300 [2]上海市疾病预防控制中心,上海200036

出　　处：《健康教育与健康促进》2009年第4期22-25,共4页Health Education and Health Promotion

摘　　要：目的了解南汇区社区2型糖尿病管理人群的知识、态度和行为(KAP)及其糖化血红蛋白等控制现状,探讨其影响因素,为制订糖尿病社区综合防治策略提供依据。方法随机整群抽取南汇区2个社区的糖尿病病人764例,对其基本情况、疾病情况、KAP情况进行调查分析,并对其进行空腹血糖、糖化血红蛋白、血脂等生化指标检测,对糖化血红蛋白控制的影响因素进行Logistic回归分析。结果病人关于糖尿病知识平均知晓率为76.70%,不同性别的2型糖尿病患者对糖尿病知识的了解程度无差别(P>0.05),≥70岁组和低文化程度者对饮食控制的了解程度较差,对"糖尿病运动疗法"及"对胰岛素的认识"知晓率分别为15.71%和56.28%。结论农村社区居民2型糖尿病患者血糖和糖化血红蛋白控制状况较差,因此,有针对性地开展健康促进应成为今后社区糖尿病防治工作的重点。Objective To understand the state of the knowledge,attitudes and behaviors(KAP) of type 2 diabetes patients in Nanhui District and their Glycated Hemoglobin control,and to discuss the influencing factors and provide the evidences for making policies and measures of community prevention for diabetes.Methods Case of 764 type 2 diabetes patients were surveyed by random cluster sampling,including their general conditions,the state of illness and the KAP level.Fasting glucose,glycated hemoglobin,lipids and other biochemical indicators were measured,and the influencing factors of glycated hemoglobin control were analyzed by Logistic regression.Results The average rate of Diabetes knowledge was 76.70%.Male and female patients with type 2 diabetes showed no difference in the knowledge of diabetes.People in the over 70-year-old group and those with low educational level had poor understanding of dieting.The knowledge rate of about exercise therapy and Insulin were 15.71% and 56.28% respectively.The average levels of Fasting plasma glucose,glycated hemoglobin,total cholesterol,triglyceride,high-density lipoprotein and low-density lipoprotein were all higher than those of type 2 diabetes that China aims at achieving in diabetes control.Glycated Hemoglobin control was positively correlated with age and duration,but negatively correlated with blood glucose,blood pressure monitoring interval,insulin therapy,and internal self-examination.Conclusion Glucose and the Glycated Hemoglobin controls of type 2 debates patients were relatively poor in rural communities,and community-based health education and promotion should be strengthened.

关 键 词：糖尿病 知识 态度 行为 血糖控制 影响因素 

分 类 号：R587.1[医药卫生—内分泌]