社区2型糖尿病患者自我管理处方实施情况调查  

Current status of self-management behaviors among patients with type 2 diabetes mellitus in community

作　　者：石敏[1] 张日东[1] 陈刚 钱乾 徐长都 汪丽平 张红[1] Shi Min;Zhang Ridong;Chen Gang;Qian Qian;Xu Changdu;Wang Liping;Zhang Hong(Department of Endocrinology,the Affiliated Huai'an First People's Hospital of Nanjing Medical University, Huai'an 223300,China;Department of Internal Medicine,Qingong Township Community Health Service Center,Huai'an 223231,China;Department of Internal Medicine,Xuyang Community Health Service Center,Huai'an 223010,China)

机构地区：[1]南京医科大学附属淮安第一医院内分泌科,223300 [2]淮安市钦工镇中心卫生院内科,223231 [3]淮安市经济开发区徐杨卫生院内科,223010

出　　处：《中华全科医师杂志》2019年第2期196-198,共3页Chinese Journal of General Practitioners

基　　金：国家自然科学基金(81400807,81700723);南京医科大学科技发展基金面上项目(2016NJMU138).

摘　　要：采用便利抽样法选取2017年1—12月期间在淮安市辖区内社区卫生院诊治、管理3个月的239例2型糖尿病(T2DM)患者,行访谈和问卷调查,评估患者自我管理处方执行情况。其中,未接受糖尿病健康教育者44.8%(107/239),健康饮食者23.0%(55/239),遵守运动处方者46.4% (111/239),未监测血糖者54.8%(131/239),近1周中21.3%(23/108)反复有低血糖发作;51.9% (124/239)不知道血糖稳定仍要坚持服药,充分了解自己存在糖尿病并发症者27.2%(65/239),能正确使用降糖药及胰岛素者分别为25.1%(60/239)和15.1%(36/239)。提示,社区T2DM患者自我管理处方执行情况较差,需加强实施糖尿病规范化管理。Two hundred and thirty nine patients with type 2 diabetes mellitus (T2DM) managed in the community health service centers of Huai′an city were selected for survey by random sampling method between January and December 2017. A self-designed questionnaire was used to assess self-management prescription. Patients received community management for 3 months. The rates of patients with not receiving diabetes health education, with healthy diet, with regular exercise, without monitoring blood glucose, with repeated hypoglycemic attacks were 44.8% (107/239), 23.0% (55/239), 46.4% (111/239), 54.8% (131/239) and 21.3%(23/108), respectively;and 51.9% (124/239) of the participants did not adhere to medication. The awareness rate of diabetic complications was 27.2% (65/239). Only 25.1% (60/239) and 15.1% (36/239) of the participants apply oral hypoglycemic agents and insulin rationally. The survey results indicate that the current status of self-management in community diabetic patients is relatively poor, it is necessary to strengthen standardized management of diabetic patients in community health institutions.

关 键 词：糖尿病 2型 社区卫生服务 自我管理处方 血糖自我监测 

分 类 号：R587.1[医药卫生—内分泌]