机构地区:[1]大连市疾病预防控制中心慢性病防制所,辽宁大连116021 [2]大连市健康教育中心,辽宁大连116021
出 处:《预防医学论坛》2015年第1期4-8,11,共6页Preventive Medicine Tribune
摘 要:目的了解社区居民糖尿病患病率、治疗率、控制率及相关知识的知晓情况,明确社区开展糖尿病健康教育的重点,为更有针对性地在社区内有效开展综合防治工作提供科学依据。方法 2012年采用问卷调查方法,对大连市内部分社区400名居民的一般情况、患病情况、相关知识知晓情况等进行调查,进行血糖检测,并进行数据的整理分析。结果调查社区居民年龄平均(55.30±11.36)岁。400名调查对象中,糖尿病患病率16.25%,其中已知自己有糖尿病的54人,知晓率83.08%。糖尿病患者治疗率为74.07%,采取的治疗措施:饮食24人,占60.00%,运动15人,占37.50%,药物38人,占95.00%,监测29人,占72.50%,4项均有12人,占30.00%。糖尿病患者血糖控制率12.96%;糖尿病患者有家族史占24.07%。糖尿病相关知识:糖尿病易患人群的知晓率为16.00%,其中患者和非患者分别是14.81%和16.18%(P>0.05);糖尿病诊断标准的知晓率为41.75%,其中,患者和非患者分别是46.30%和40.75%(P>0.05);糖尿病控制措施的知晓率为20.25%,其中,患者和非患者分别是18.52%和20.52%(P>0.05);糖尿病并发症的知晓率为22.00%,其中,患者和非患者分别是16.67%和22.83%(P>0.05);糖尿病临床症状的知晓率为62.00%,其中,患者和非患者分别是66.67%和61.27%(P>0.05)。血糖监测:患者主要是每周和每月监测,分别占33.96%和30.19%;非患者主要是一年、半年和偶尔监测,分别占28.82%、21.04%和18.44%。在糖尿病意识方面(易患人群、诊断标准、控制措施、并发症和临床症状),文化程度的高低之间差异无统计学意义(P>0.05);除了临床症状(P>0.05),在易患人群、诊断标准、控制措施和并发症方面,居民家庭收入的高低间的差异均有统计学意义(P<0.05、<0.01)。结论大连市社区居民糖尿病患病知晓率、治疗率、控制率以及糖尿病相关知识的知晓率均有待进一步提高,应采取综合性防治措施,特别是增强血糖监�Objective To understand the current status of prevalence,treatment,control and awareness on related knowledge of diabetes mellitus(DM),and determine the key to carry out the health education of DM,so as to provide scientific basis for further interventions on DM in communities. Methods A questionnaire survey was conducted on life-style,DM prevalence,and awareness,on treatment,control,and relative knowledge of DM in communities of Dalian city in 2012,each of which was examined by monitoring the blood sugar,and analysis was made on the data. Results The average age of the surveyed population was 55.30±11.36.Among 400 surveyed,the prevalence of DM was 16.25%.54 of them knew they had DM themselves,with an awareness rate of 83.08%.The treatment rate of DM was 74.07%.The treatment measures were:diet,24,accounting for 60.00%,exercises,15,accounting for 37.50%,drug,38,accounting for 95.00%,monitored,29 monitored,accounting for 72.50%,with above 4measures,12,accounting for 30.00% of the comprehensive measures.The control rate of DM was 12.96%.Those with family history of DM accounted for 24.07%.Relative knowledge of DM:the awareness in the vulnerable people was 16.00%,that of patients was 14.81%,non-patients was 16.18%(P〉0.05).The awareness of diagnostic criteria,that of patients was 46.30%,non-patients was 40.75%(P0.05).The awareness of treatment measures,patients was18.52%,non-patients was 20.52%(P〈0.05).The awareness of complications,that of patients was 16.67%,non-patients was 22.83%(P 〉0.05).The awareness of clinical symptoms,that of patients was 66.67%,non-patients was 61.27%(P〉 0.05).In monitoring the blood glucose,patients mainly monitor once every week or every month,accounting for 33.96% and 30.19% respectively.Non-patients often monitor once every year,every six months or occasionally,accounting for 28.82%,21.04% and 18.44%.In diabetes awareness(susceptible population,diagnostic criteria,control measures,complications and clinical symptoms),with no statistically signific
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