2018年中国8省糖尿病规范管理现状分析  

Implementation and outcomes of standardized management on diabetespatients in eight provincial-level administrative divisions,China:a crosssectionalsurvey in 2018

作　　者：张思佳 朱晓磊[2] 胡诗琪 耿叶 张晓畅[2] 吴静[1,2] ZHANG Sijia;ZHU Xiaolei;HU Shiqi;GENG Ye;ZHANG Xiaochang;WU Jing(National Center for Chronic and Non-communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Office of Non-communicable Disease Control and Community Health,Chinese Center for Disease Control and Prevention,Beijing 102206,Chin)

机构地区：[1]中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京100050 [2]中国疾病预防控制中心慢病与老龄健康管理处,北京102206

出　　处：《中国公共卫生》2023年第9期1185-1190,共6页Chinese Journal of Public Health

摘　　要：目的了解糖尿病健康管理项目开展现状,分析糖尿病患者管理效果及规范管理对糖尿病患者知识、行为、服药以及血糖控制的影响,为后续糖尿病患者管理提供依据。方法以2018年8—10月“国家基本公共卫生服务项目慢性病患者管理评估研究”8省(自治区)随访的3978例≥35岁糖尿病患者为研究对象,对患者进行糖尿病管理接受情况以及管理效果等方面的问卷调查和血糖测量,采用二元logistic回归模型分析规范管理与糖尿病患者知识、行为、服药以及血糖控制的关系。结果糖尿病患者规范管理率为71.28%,服药治疗率、血糖控制率分别为88.69%和51.98%。规范管理组糖尿病患者的知识知晓较好率、膳食多样性较好率和血糖控制率分别为56.11%、48.79%和53.61%,均高于未规范管理组糖尿病患者的41.54%、43.26%和47.96%,差异均有统计学意义(均P<0.05);规范管理组糖尿病患者现在吸烟率和饮酒率分别为10.17%和13.34%,均低于未规范管理组的12.49%和18.78%,差异均有统计学意义(P<0.05)。二元logistic回归分析显示,规范管理与知识知晓较好以及膳食多样性较好存在正向关联(P<0.05),与现在吸烟及饮酒存在负向关联(P<0.05)。结论糖尿病规范管理取得了一定进展,但仍有上升空间。规范管理与糖尿病患者知识知晓较好以及膳食多样性较好存在正相关,与现在吸烟以及饮酒存在负相关。Objective To examine the implementation of diabetes health management project and its influence on knowledge awareness,health behavior,medication,and blood glucose control among the diabetes patients with the standardized management for the improvement of the project.Methods Using multistage random sampling,we recruited 3995 diabetes patients aged 35 years and over and being followed-up in the Survey for Assessment on Chronic Disease Patients Management in the National Primary Public Health Services in 8 provincial level administrative divisions.A questionnaire survey and peripheral blood glucose test were conducted among the participants during August-October 2018.Binary logistic regression model was used to analyze the impact of standardized management on diabetes patients′knowledge awareness,health behavior,medication and blood glucose control.Results Of the 3938 participants with complete information,71.28%,88.69%,51.98%reported having standardized management(receiving 4 times and more health care follow-ups per year),medication for diabetes,and effective blood glucose control(fasting and postprandial blood glucose<7.0 and<10.0 mmol/L),respectively.Compared with those without standardized management,the participants with the management reported significantly higher ratios of relevant knowledge awareness(56.11%vs.41.54%),better dietary diversity score(48.79%vs.43.26%),and effective blood glucose control(53.16%vs.47.96%)(all P<0.05)but significantly lower ratios of current smoking(10.17%vs.12.49%)and alcohol consumption during past one year(13.34%vs.18.78%)(both P<0.05).Binary logistic regression analysis showed that the standardized management on diabetes patients was significantly correlated positively with the patients′better knowledge awareness and better dietary diversity,and negatively with the patients′current smoking and alcohol drinking(all P<0.05).Conclusion The standardized management on diabetes patients was positively related to the patients′better knowledge awareness and dietary diversity

关 键 词：糖尿病 规范管理 血糖控制率 管理效果 

分 类 号：R587.1[医药卫生—内分泌]