北京市社区2型糖尿病患者运动干预的影响因素研究  

Influencing Factors for Exercise Intervention on Type 2 Diabetes Patients in Beijing

作　　者：韩鹏[1] 张铁山[2] 贡欣扬 许树强 

机构地区：[1]中日友好医院院办公室,北京市100029 [2]中日友好医院信息处,北京市100029 [3]国家卫生和计划生育委员会卫生应急办公室

出　　处：《中国全科医学》2015年第34期4248-4250,共3页Chinese General Practice

基　　金：十二五国家科技支撑计划项目(2012BAI02B01)--糖尿病及其并发症的康复技术与产品研发

摘　　要：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。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.

关 键 词：糖尿病 2型 社区卫生服务 运动干预 北京 

分 类 号：R587.1[医药卫生—内分泌] R197[医药卫生—内科学]