中国2型糖尿病自我血糖监测频率达标率及其影响因素的Meta分析  

Meta-analysis of the rate of reaching the standard frequency of self-blood glucose monitoring and its influencing factors in type 2 diabetes mellitus patients in China

作　　者：熊怡 吴冬梅 毛国菊 陶思路 郭梦佳 严章荣 董美君 XIONG Yi;WU Dong-mei;MAO Guo-ju;TAO Si-lu;GUO Meng-jia;YAN Zhang-rong;DONG Mei-jun(College of Nursing,Chengdu University of Chinese Medicine,Chengdu,Sichuan 610075,China)

机构地区：[1]成都中医药大学护理学院,四川成都610075 [2]电子科技大学成都脑科学研究院临床医院,四川成都611730 [3]成都市第四人民医院

出　　处：《现代预防医学》2024年第3期507-513,共7页Modern Preventive Medicine

摘　　要：目的对中国2型糖尿病患者血糖自我监测(self-monitoring of blood glucose,SMBG)频率达标率和影响因素进行meta分析。方法使用计算机在CNKI、VIP、CBM、Wan Fang Data、PubMed、Embase、Web of science、CINAHL和The Cochrane Library数据库中检索自建库以来至2023年5月26日有关中国2型糖尿病患者SMBG频率达标率及其相关因素的横断面研究。两名研究人员独立进行筛选文献并提取资料,采用Stata 17.0软件进行meta分析。结果共纳入17个研究,包括2型糖尿病患者14343例,其中3403人SMBG达标。Meta分析结果显示,我国2型糖尿病患者SMBG频率达标率为26.4%(95%CI:21.0%~31.8%)。以评估工具、地区、样本来源进行亚组分析,结果显示:使用2型糖尿病应用指南进行评估的达标率为33.4%(95%CI:24.8%~42%),2型糖尿病防治指南为19.1%(95%CI:11.9%~26.3%);东部地区的达标率为26.9%(95%CI:17.8%~36%),中部地区的为25.6%(95%CI:17.5%~33.8%);样本来源为医院的达标率为27.3%(95%CI:22.6%~32.1%),社区的为12.1%(95%CI:2.6%~21.7%)。SMBG频率达标率相关的影响因素有较高文化程度(OR=1.591,95%CI:1.269~1.994)、高收入家庭(OR=1.751,95%CI:1.048~2.925)、自我效能评分(OR=2.592,95%CI:1.148~5.855)、降糖方案为胰岛素(OR=2.193,95%CI:1.561~3.080)、病程长(OR=1.035,95%CI:1.035~1.073)和接受过SMBG相关健康教育(OR=2.195,95%CI:1.376~3.499)。结论证据结果显示,我国2型糖尿病患者SMBG频率达标率较低。较高文化程度、高收入家庭、高自我效能、降糖方案为胰岛素、病程长、接受过SMBG相关健康教育的患者频率达标率更高。Objective To analyze the frequency and influencing factors of blood glucose self-monitoring of blood glucose(SMBG)in Chinese patients with type 2 diabetes mellitus by meta-analysis.Methods By searching literature in the databases of CNKI,VIP,CBM,Wan Fang Data,PubMed,Embase,Web of science,CINAHL,and the Cochrane Library from the establishment of the database to May 26,2023,cross-sectional studies on the SMBG frequency standard rate and its influencing factors in Chinese patients with type 2 diabetes were searched.Two researchers independently screened the literature and extracted the data,and meta-analysis was carried out by using Stata 17.0 software.Results A total of 17 studies were included,including 14343 patients with type 2 diabetes,of which 3403 met the SMBG standard.The results of meta-analysis showed that the reaching standard rate of SMBG frequency in Chinese patients with type 2 diabetes was 26.4%(95%CI:21.0%-31.8%).Based on the subgroup analysis of evaluation tools,regions,and sample sources,the results showed that the reaching standard rate of evaluation using the applicable guidelines for type 2 diabetes was 33.4%(95%CI:24.8%-42%),and that using the guidelines for the prevention and treatment of type 2 diabetes was 19.1%(95%CI:11.9%-26.3%).The reaching standard rate of the eastern region was 26.9%(95%CI:17.8%-36%),and that of the central region was 25.6%(95%CI:17.5%-33.8%).The reaching standard rate was 27.3%(95%CI:22.6%-32.1%)when the sample source was hospital and 12.1%(95%CI:2.6%-21.7%)when the sample source was community.The influencing factors of SMBG reaching standard rate were higher education level(OR=1.591,95%CI:1.269-1.994),high income family(OR=1.751,95%CI:1.048-2.925),self-efficacy score(OR=2.592,95%CI:1.148-5.855),insulin(OR=2.193,95%CI:1.561-3.080),long course of disease(OR=1.035,95%CI:1.035-1.073),and having received SMBG-related health education(OR=2.195,95%CI:1.376-3.499).Conclusion The evidence results show that the SMBG frequency of Chinese patients with type 2 diabetes mellitus is

关 键 词：2型糖尿病患者 血糖自我监测 达标率 影响因素 META分析 

分 类 号：R587.1[医药卫生—内分泌]