上海市社区2型糖尿病病人血糖控制与自我行为管理状况的关联性分析  

Blood glucose control and self-behavioral management of patients with Type 2 diabetes mellitus (T2DM) in Shanghai communities

作　　者：曹昭春 邱寒艳 邢蕊 徐刚[3] 秦利[1] CAO Zhaochun;QIU Hanyan;XING Rui;XU Gang;QIN Li(Department of Endocrinology,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;Community Health Service Center of Jiaxing Road,Hongkou District,Shanghai 200000,China;the Public Health,the Shanghai Jiao Tong University,Shanghai 200000,China)

机构地区：[1]上海交通大学医学院附属新华医院内分泌科,上海200092 [2]上海市虹口区嘉兴路街道社区卫生服务中心,上海200000 [3]上海交通大学公共卫生学院,上海200000

出　　处：《安徽医药》2021年第5期954-958,共5页Anhui Medical and Pharmaceutical Journal

基　　金：上海市虹口区卫生健康委员会医学科研课题(虹卫1703-40)。

摘　　要：目的了解上海市社区2型糖尿病(T2DM)病人血糖控制及自我行为管理的现况,探讨自我行为管理因素对血糖控制状况的影响。方法使用系统随机抽样方法选择T2DM病人进行问卷调查,问卷内容包括一般人口学特征、疾病相关信息、糖尿病认知、医务人员行为管理支持、病人自我行为管理等,同时测量病人的身高、体质量、糖化血红蛋白(HbA1c)等指标,计算病人的平均糖化血红蛋白值、达标率、自我行为管理总分和各维度得分,并运用统计学方法分析它们之间的关系。结果上海市社区T2DM病人HbA1c值为(7.27±1.33)%,达标率为48.9%;病人的自我管理行为量表(SDSCA)总分为(33.28±13.60)分,合格率仅为10.5%;病人的自我行为管理与血糖控制效果关系密切。结论上海市社区2型糖尿病病人的血糖控制状况仍有待提高,应充分发挥社区卫生服务中心的作用,以重点人群和自我行为管理缺陷的病人为重点,不断提高病人的自我行为管理水平。Objective To understand the status of blood glucose control and self-behavioral management of patients with Type 2 diabetes mellitus(T2DM)in Shanghai communities,and to explore the influence of self-behavioral management of patients on blood glucose control status.Methods A systematic random sampling method was used to select patients with T2DM to conduct a questionnaire survey.The contents of the questionnaire included general demographic characteristics,disease-related information,diabetes related cognition,behavior management supported by medical staff,self-behavioral management of patients.At the same time,height,weight and hemoglobin glycosylation(HbA1c)of patients were measured.The mean of HbA1c,the control rate of HbA1c,the total score of selfbehavioral management of patients and the scores of each dimension were calculated,statistical methods were used to analyze the relationship between them.Results The average HbA1c value was(7.27+1.33)%and the control rate was 48.9%.The average total SDSCA score of patients was(33.28+13.60),the qualified rate was only 10.5%.The self-behavior management of patients was closely related to the effect of blood sugar control,and was probably the most important intervenable factor.Conclusion The status of of blood glucose control among patients with T2DM in Shanghai communities still needs to be improved.We should give full play to the role of community health service centers,focus on key groups and self-behavioral management deficiencies,and constantly improve the self-behavioral management level of patients.

关 键 词：糖尿病 2型 血糖控制 自我行为管理 社区 

分 类 号：R473.2[医药卫生—护理学]