2015年昆明市社区在管2型糖尿病患者防治知信行调查  

Survey on knowledge,attitude and practice of prevention and treatment among patients with type 2 diabetes mellitus in community management,Kunming city,2015

作　　者：沈岚[1] 张茂镕[1] 杨昭[1] 李吉[1] 颜芳[1] 李志坤[1] SHEN Lan;ZHANG Mao-rong;YANG Zhao;LI Ji;YAN Fang;LI Zhi-kun(Kunming City Center for Disease Control and Prevention,Kunming,Yunnan,650228,China)

机构地区：[1]昆明市疾病预防控制中心,云南昆明650228

出　　处：《预防医学论坛》2021年第4期270-272,共3页Preventive Medicine Tribune

基　　金：昆明市疾控中心自选项目(项目编号:KJK2015Z190)。

摘　　要：目的了解昆明市实施社区管理以来对在管糖尿病患者相关知信行情况。方法采用多阶段随机抽样方法,随机抽取35岁及以上石林、寻甸县城社区在管的糖尿病患者582例进行问卷调查,收集其相关指标。结果调查对象平均年龄为(63.42±11.04)岁;男性203例、占34.88%,女性379例、占65.12%。空腹血糖、体质指数、腰围的达标率分别为42.96%、48.45%、59.11%。收缩压和舒张压均达标317例,达标率为54.46%,知晓糖尿病不能治愈,但能有效控制的295例、占50.69%;知晓空腹血糖达标值的75例、占12.89%;知晓餐后2 h血糖达标值的51例、占8.76%;危险因素知晓的255例,知晓率为43.81%;并发症知晓的263例,知晓率为45.19%。患病后遵医服降糖药的388例、占66.67%;控制饮食的71例、占53.20%;定期到医院复查的110例、占18.90%;并发症的77例,发生率为13.23%;过去1年因糖尿病住院的147例,住院率为25.26%。单因素分析显示,患病年限>5年的患者血糖达标的61例,达标率为31.12%;患病年限≤5年的患者血糖达标的189例,达标率为48.96%(P<0.01)。结论昆明市社区糖尿病患者空腹血糖达标率不高,超重和肥胖的患者比例高,对空腹血糖、餐后血糖控制标准知晓率较低,主动定期到医院复查疾病的意识不强。Objective To understand the knowledge, attitude and practice of diabetes patients since the implementation of community management in Kunming city. Methods A questionnaire survey was conducted among 582 diabetic patients aged 35 and over in Shilin and Xundian county communities by multi-stage random sampling, and the related indicators were collected. Results The average age of the respondents was(63.42±11.04) years old, including 203 males(34.88%) and 379 females(65.12%).The standard-reaching rate of fasting blood glucose, body mass index and waist circumference were 42.96%,48.45% and 59.11%,respectively.The standard-reaching rate of systolic and diastolic blood pressure was 54.46%(317 cases).50.69% of people(295 cases) knew that diabetes cannot be cured, but can be effectively controlled.12.89%(75 cases) knew the value of fasting blood glucose standards, and 8.76%(51 cases) knew the value of blood glucose standards 2 h postprandial blood glucose.The risk factor awareness rate was 43.81%(255 cases) and complication awareness rate was 45.19%(263 cases).After falling ill, 66.67% of them(388 cases) took hypoglycemic drugs as prescribed by doctors, 53.20%(71 cases) controlled their diet, and 18.90%(110 cases) went to the hospital for regular check-up.Complications occurred in 77 cases, with an occurrence rate of 13.23%.In the past year, 147 patients were hospitalized due to diabetes, and the rate of hospitalization was 25.26%.Univariate analysis showed that the blood glucose standard-reaching rate was 31.12%(61 cases) in patients with a disease age of more than 5 years, and 48.96%(189 cases) in patients with a disease age of less than or equal to 5 years(P<0.01). Conclusion The community diabetic patients in Kunming city have a low rate of fasting blood glucose attainment, a high proportion of overweight and obese patients, a low awareness rate of fasting blood glucose and postprandial blood glucose control standards, and a low awareness of regular visits to hospitals for disease reexamination.

关 键 词：2型糖尿病 社区管理 知信行 

分 类 号：R587.1[医药卫生—内分泌]