2型糖尿病胰岛素治疗患者运动现状的调查研究  

Study on status quo of exercise participation among insulintreated patients with type 2 diabetes

作　　者：冯苏文 许方蕾[2] 张丽亚[3] 赵春艳[4] FENG Suwen;XU Fanglei;ZHANG Liya;ZHAO Chunyan(School of Medicine,Tongji University,Shanghai 200092,China;Department of Nursing,Tongji Hospital of Tongji University,Shanghai 200065,China;Department of Endocrinology,Tongji Hospital of Tongji University,Shanghai 200065,China;Department of Nursing,Shanghai East Hospital Affiliated to Tongji University,Shanghai 200129,China)

机构地区：[1]同济大学医学院,上海200092 [2]同济大学附属同济医院护理部,上海200065 [3]同济大学附属同济医院内分泌科,上海200065 [4]同济大学附属东方医院护理部,上海200129

出　　处：《中国医药科学》2023年第2期106-109,共4页China Medicine And Pharmacy

基　　金：上海市护理学会科研课题(2020MS-B12)。

摘　　要：目的 调查上海市2型糖尿病胰岛素治疗患者的运动现状,分析存在的问题,为指导患者开展运动管理提供依据。方法 2021年5-6月采用自制调查问卷进行便利抽样,调查上海市社区卫生服务中心和综合性医院的533例2型糖尿病胰岛素治疗患者,了解胰岛素治疗和运动现状。结果 胰岛素保存完全正确率为22.33%,胰岛素笔针头每次更换率为35.46%,胰岛素注射准时率为73.92%;调查对象中52.35%运动时长为30~60 min,32.27%运动强度为中等强度,41.65%运动频率为3~4 d/周,70.17%未进行运动前后的热身和放松,83.86%未进行运动时心率监测,56.85%运动无专业指导。结论 2型糖尿病胰岛素治疗患者运动管理不完善,运动前准备不充分,运动过程监管和运动后评价缺失。Objective To investigate the status quo of exercise participation among insulin-treated patients with type 2 diabetes in Shanghai, analyze the existing problems, and provide a basis for guiding patients to carry out exercise management. Methods A self-made questionnaire was used for convenient sampling from May to June 2021, and 533 insulin-treated patients with type 2 diabetes in community health service centers and general hospitals in Shanghai were investigated to understand the status quo of insulin treatment and exercise participation. Results The complete accuracy of insulin preservation was 22.33%, the replacement rate of the insulin pen needle each time was 35.46%, and the punctuality rate of insulin injection was 73.92%. 52.35%of the respondents exercised for 30 to 60 minutes, 32.27% of them exercised at moderate intensity, 41.65%exercised at a frequency of 3 to 4 days/week, 70.17% did not warm up and relax before and after exercise,83.86% did not have heart rate monitored during exercise, and 56.85% did not exercise under professional guidance. Conclusion The exercise management for insulin-treated patients with type 2 diabetes is not wellestablished, the preparation before exercise is not sufficient, and the monitoring during exercise process and the evaluation after exercise are missing.

关 键 词：2型糖尿病 胰岛素治疗 运动疗法 横断面研究 

分 类 号：R587.1[医药卫生—内分泌]