家族史对2型糖尿病患者知识知晓和血糖控制的影响  

Impact of familial history of diabetes on knowledge awareness and glycemic control among type 2 diabetes patients

作　　者：陈春念[1] 缪春华[1] 姜方平[1] CHEN Chun-nian;MIAO Chun-hua;JIANG Fang-ping(Zhenjiang Municipal Center for Disease Control and Prevention,Jiangsu Zhenjiang 321102,China)

机构地区：[1]镇江市疾病预防控制中心,江苏镇江321102

出　　处：《江苏预防医学》2018年第4期386-388,共3页Jiangsu Journal of Preventive Medicine

基　　金：镇江市重点研发计划-社会发展项目(SH2015030)

摘　　要：目的探讨糖尿病家族史对2型糖尿病患者知识知晓和血糖控制的影响。方法分阶段随机选取977例2型糖尿病患者,问卷了解患者的人口学资料、糖尿病家族史、生活方式和相关知识知晓情况,检测患者糖化血红蛋白,分析比较有无家族史对患者知识知晓和血糖控制是否有影响。结果有家族史和无家族史的2型糖尿病患者在病程、文化程度、体育锻炼、平均每周测血糖次数等方面存在差异,在糖尿病相关知识的知晓上并无差异。有家族史的患者血糖达标比例为59.3%,低于无家族史的患者67.4%(P<0.05),但是在考虑体育锻炼、平均每周测血糖次数和知识知晓情况后,有无家族史对血糖控制并无影响(OR=1.27,95%CI:0.91~1.78),体育锻炼是血糖控制的保护因素。结论 2型糖尿病患者有无家族史对知识知晓和血糖控制并无影响,但生活方式会影响血糖控制。Objective To investigate impact of familial history of type 2 diabetes mellitus （T2DM） on diabetes related knowledge awareness and glycemic control among T2DM patients. Methods Multistage random sampling method was used to choose 977 T2DM patients, questionnaire survey was conducted to obtain demographic information, familial history of diabetes, life style, and the awareness of related knowledge, the Haemoglobin A1c of the patients were analyzed, chi square test and two classification logistic regression analysis were used to compare whether familial history had impact on knowledge awareness and blood glucose control among T2DM patients. Results For T2DM patients with or without familial history, the patients course of disease, educational level, physical exercise and weekly frequency of blood glucose measurement were statistically different, while the awareness of related knowledge were not statistically different. Patients with familial history had a blood glucose compliance rate of 59.3%, which was lower than that of patients without family history （67.4%） （ P 〈0.05）. After considering physical exercise, weekly frequency of blood glucose measurement and awareness situation, familial history had no impact on the glycemic control among T2DM patients（ OR =1.27,95% CI ：0.91-1.78）. Conclusion Familial history of T2DM has no effect on knowledge awareness and glycemic control. However lifestyle could affect glycemic control.

关 键 词：2型糖尿病 糖化血红蛋白 家族史 

分 类 号：R587.1[医药卫生—内分泌]