2型糖尿病患者血糖监测自我管理的调查  

Investigation about self-monitoring of blood sugar for patients with Type 2 diabetes

作　　者：郑淑君[1] 李思勤[1] 叶晓青[1] 成守珍[1] 林芳宇[1] 邱泉[2] 胡丙杰[3] 陈维清[2] 

机构地区：[1]中山大学附属第一医院护理部,广州510080 [2]中山大学公共卫生学院 [3]广州市卫生局

出　　处：《中国实用护理杂志》2007年第6期7-9,共3页Chinese Journal of Practical Nursing

基　　金：2005年度广州市医药卫生科技重大项目（2005-Zda-001）

摘　　要：目的 了解2型糖尿病患者自我血糖监测情况及其影响因素，为糖尿病教育工作提供参考依据。方法 随机选择在广州市5家医院就诊的349例2型糖尿病患者。对其血糖监测情况及有关糖尿病知识、健康信念和自我效能等进行问卷调查。采用Logistic回归法分析患者家庭血糖监测的影响因素。结果 本次调查中能按要求进行家庭监测血糖者占65．6％。患者的血糖自我监测水平与其血糖监测等技能掌握得分、健康信念（P〈0．01）呈正相关。城市患者的家庭监测状况优于乡镇患者（P〈0．05）；患者到医院就诊和监测病情（包括监测血糖）的间隔时间，56．2％的患者间隔1-2个月，32．0％的患者间隔较长时间才复查或监测血糖，8．6％的患者是在感觉身体不适时才就诊，3．2％的患者确诊后从未再就诊。结论 应强化患者血糖监测的意识，提高其自测血糖技能；扩大教育途径范围，重视对乡镇患者进行教育引导；倡导患者家庭成员教育，争取获得其家庭支持，以解决目前糖尿病监测管理薄弱环节。Objective In order to know the self-monitoring condition of blood sugar for patients with type 2 diabetes, and then provide reference for effective related health education. Methods Selected 349 patients with type 2 diabetes randomly, interviewed them about diabetes-related health knowledge, healthy ideas, self-control condition and monitoring condition of blood sugar, and then analyzed the datum from investigation. Results There were 65.6% patients could carry out family blood sugar monitoring on request, which had positive correlation with monitoring skills （P〈0.01）, health conviction （P〈0.01）. The urban patients family monitor was superior to the patients of villages and towns （P〈0.05）. And there were 56.2% patients went to hospital to seek medical advice and monitor illness state （include monitoring blood glucose） at intervals of 1 to 2 months,there were 8.6% patients went to see a doctor only when they felt silly, and there were 3.2% never sought medical advice again after being diagnosed accurately. Conclusion Patients consciousness of blood sugar monitoring should be strengthened. The skill of self-monitoring should be improved. The range of education should be expanded, especially in patients from villages and towns. Family education should be advocated in order to obtain household support and solve the problems in diabetic monitoring management.

关 键 词：2型糖尿病 血糖监测 自我管理 

分 类 号：R587[医药卫生—内分泌] R473[医药卫生—内科学]