基础胰岛素起始治疗前2型糖尿病患者血糖与自我管理行为的相关性研究  

Correlation between blood glucose and self-management behaviors in patients with type 2 diabetic mellitus before initial basal insulin therapy

作　　者：常小霞[1] 袁丽[1] 熊真真[1] CHANG Xiaoxia;YUAN Li;XIONG Zhenzhen(Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China)

机构地区：[1]四川大学华西医院内分泌代谢科,成都610041

出　　处：《华西医学》2018年第5期540-543,共4页West China Medical Journal

基　　金：四川省科技厅科技支撑计划项目(2014FZ0044)

摘　　要：目的调查基础胰岛素起始治疗前2型糖尿病患者血糖控制与自我管理行为现状,并分析二者的相关性。方法选择2016年2月-8月于成都市某三级甲等医院就诊的基础胰岛素起始治疗的2型糖尿病患者200例,通过发放问卷调查患者一般资料、自我管理行为、空腹血糖和糖化血红蛋白。结果共收回有效问卷193份。193例基础胰岛素起始治疗前的糖尿病患者空腹血糖为(12.22±3.95)mmol/L,糖化血红蛋白为(10.01±2.38)%,其中12例患者空腹血糖≤7 mmol/L(6.22%),18例患者糖化血红蛋白<7%(9.33%)。自我管理行为总分为(26.76±14.77)分,其中自我管理水平良好者仅3例(1.55%)。Spearman相关分析表明,患者空腹血糖及糖化血红蛋白均与自我管理行为得分呈负相关(r=-0.401,P<0.001;r=-0.227,P=0.028)。结论基础胰岛素起始治疗前的2型糖尿病患者血糖控制情况与自我管理行为现状不理想,应加强对基础胰岛素起始治疗前患者的管理,促使其产生良好的自我管理行为。Objective To explore the correlation between blood glucose and self-management behaviors in patients with type 2 diabetic mellitus before initial basal insulin therapy. Methods A convenient sample of 200 patients with type 2 diabetic mellitus who were hospitalized in a tertiary hospital from February to August 2016 were enrolled in the study on a voluntary basis. Patients＇ demographic information, fast blood glucose, glycosylated hemoglobin, and scores of diabetes self-care activities were gathered through questionnaires. Results A total of 193 valid questionnaires were recovered. Before starting basal insulin therapy, the mean blood glucose and the mean glycosylated hemoglobin of the 193 patients were（12.22±3.95） mmol/L and（10.01 ±2.38）%, respectively, with 12 patients（6.22%） meeting the goal of fasting blood glucose ≤7 mmol/L and 18 patients（9.33%） meeting the goal of glycosylated hemoglobin 〈7%, respectively. The total score of self-care activities was 26.76±14.77, in which 3 patients（1.55%） performed well. Spearman analysis demonstrated that the total score of self-care activities was negatively correlated with fast blood glucose（r=-0.401,P〈0.001） and glycosylated hemoglobin（r=-0.227, P=0.028）. Conclusions The blood glucose levels and self-management behaviors in diabetic patients at the beginning of initial basal insulin therapy are not optimistic. Enhanced management of type 2 diabetic patients with initial basal insulin therapy is the prerequisite to promote diabetes self-care activities.

关 键 词：基础胰岛素 2型糖尿病 血糖控制 自我管理 

分 类 号：R587.1[医药卫生—内分泌]