广东省开平地区糖尿病患者血糖控制不达标原因分析与对策  

Cause Analysis and Countermeasures of Diabetes Mellitus Patients'Blood Glucose Control Not Reaching Standard in Kaiping District of Guangdong Province

作　　者：劳玉琳 刘艳虹[2] 马玉姗[2] 吴妙琼[2] 陈月柳[2] 罗群芳[2] LAO Yulin;LIU Yanhong;MA Yushan;WU Miaoqiong;CHEN Yueliu;LUO Qunfang(Department of Internal Medicine,Kaiping Central Hospital,Kaiping Guangdong 529300,China;Department of Endocrinology,Kaiping Central Hospital,Kaiping Guangdong 529300,China)

机构地区：[1]开平市中心医院内科,广东开平529300 [2]开平市中心医院内分泌科,广东开平529300

出　　处：《中国卫生标准管理》2020年第12期16-19,共4页China Health Standard Management

基　　金：江门市卫生计生局科学技术研究项目(17A095)

摘　　要：目的探讨开平地区糖尿病患者血糖控制不达标原因分析与对策。方法选取2015年9月—2018年9月开平地区日常糖尿病就诊患者中筛取血糖不达标患者500例,对此500例患者的临床资料进行分析,探究血糖控制不达标的原因并提出对策。结果500例患者中,血糖控制不达标的原因中:(1)对于该疾病相关知识的知晓度较低,占比为23.0%;(2)不良饮食习惯导致血糖控制失败,占比为33.4%;(3)单一的生活方式,缺少运动,占比为45.4%;(4)部分患者在治疗期间无法规律测量血糖,或不按时复诊无法及时调整药物剂量,致血糖仍处于较高水平,占比为50.8%;(5)合并有其他疾病,以致血糖控制不好,占比为54.6%;(6)不遵从医嘱按时、规律用药,认为药物存在不良反应,用药依从性较差,占比为25.2%;(7)病程长,家庭经济负担大,口服药物治疗效果不佳时不愿联合或更换胰岛素治疗,占比为25.6%。结论糖尿病患者血糖控制不达标原因较多,同一个患者可能存在多种控制不达标的原因,针对不同情况的患者,提出个体化的解决对策,改善患者对糖尿病的认知,从而提升患者血糖控制达标率。Objective To explore the causes and countermeasures of substandard blood glucose control for diabetic patients in Kaiping area.Methods From September 2015 to September 2018,500 patients with nonstandard blood glucose were selected from daily diabetes patients in major hospitals in Kaiping area.The clinical data of 500 patients were analyzed to explore the causes of non-standard blood glucose control and put forward countermeasures.Results Among the 500 patients,the reasons for blood glucose control failure were:(1)low awareness of the disease-related knowledge,accounting for 23.0%;(2)poor dietary habits caused blood glucose control failure,accounting for 33.4%;(3)Single lifestyle,lack of exercise,accounting for 45.4%;(4)Some patients are unable to regularly measure blood glucose during treatment,or fail to adjust the drug dose in time without returning to the clinic in time,resulting in blood glucose still at a high level,accounting for The ratio is 50.8%;(5)Combined with other diseases,resulting in poor blood sugar control,the proportion is 54.6%;(6)Do not follow the doctor’s instructions to use the medicine on time and regularly,think that the drug has adverse reactions,and the medication compliance is poor,accounting for 25.2%;(7)Long course of disease,large family financial burden,and unwillingness to combine or replace insulin therapy when oral medication is not effective,accounting for 25.6%.Conclusion There are many reasons for diabetic patients'blood sugar control not reaching the standard.According to patients with different conditions some individualized solutions are put forward to improve the patients'attitude towards diabetes so as to improve the compliance rate of patients'blood sugar control.

关 键 词：开平地区 糖尿病患者 血糖控制不达标 原因分析 对策 控制达标率 

分 类 号：R181[医药卫生—流行病学]