社区糖尿病患者血糖管理现况及影响因素研究  

The current situation and influencing factors of blood glucose management on patients with diabetes in community

作　　者：王晶玭 王群[1] 黄丽 魏青青 唐溶崧 高洪伟[1,3] 李葆华[2] WANG Jingpin;WANG Qun;HUANG Li;WEI Qingqing;TANG Rongsong;GAO Hongwei;LI Baohua(Dongpingli Community Health Service Station,Peking University Third Hospital,Beijing 100621,China;Nursing Department,Peking University Third Hospital,Beijing 100191,China;Department of Endocrinology and Metabolism,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院东平里社区卫生服务站,北京市100621 [2]北京大学第三医院护理部,北京市100191 [3]北京大学第三医院内分泌与代谢科,北京市100191

出　　处：《护理管理杂志》2024年第11期952-957,共6页Journal of Nursing Administration

基　　金：北京大学第三医院护理科研基金资助项目(BYSYHL2021006)。

摘　　要：目的 了解社区糖尿病患者的血糖管理现况及其影响因素,为加强基层糖尿病管理质量提供参考依据。方法 基于回顾公共卫生服务系统健康档案信息,采用自行编制的调查表对北京市某三级甲等医院附属社区卫生服务机构管理的1 828例糖尿病患者进行调查。结果 社区糖尿病患者空腹血糖控制达标率为63.95%,血糖、血压、血脂综合控制率为2.57%。二元Logistic回归分析结果显示,年龄、工作状况、糖尿病病程、非空腹血糖、收缩压、高密度脂蛋白胆固醇是血糖控制的影响因素(P<0.01或P<0.05)。结论 社区糖尿病患者血糖综合管理水平仍需提高,应积极探索社区层面精准化的专科高级护理实践模式,持续提升基层糖尿病教育管理能力,加强糖尿病患者的分层干预和综合代谢管理。Objective To understand the current situation and influencing factors of blood glucose management in patients with diabetes in community,and to provide reference for strengthening the quality of diabetes management at grassroots level.Methods It was a retrospective study based on the health records of public health system.A self-designed questionnaire was used to investigate 1828 patients with diabetes managed by community health service institutions affiliated to a third-class hospital in Beijing.Results The fasting blood glucose control rate of community patients with diabetes was 63.95%,and the comprehensive control rate of blood glucose,blood pressure and blood lipid was 2.57%.The Logistic regression results showed that age,work status,diabetes course,non-fasting blood glucose level,systolic blood pressure and high-density lipoprotein control were independent influencing factors for blood glucose control status(P<0.01 or P<0.05).Conclusion The level of blood glucose and comprehensive management of patients with diabetes in the community still needs to be improved,and the practice model of precise specialized advanced nursing at the community level should be actively explored,the ability of grassroots diabetes education and management should be continuously improved,and stratified intervention and comprehensive metabolic management of patients with diabetes should be strengthened.

关 键 词：社区 糖尿病 血糖 护理管理 影响因素 综合管理 

分 类 号：R473.2[医药卫生—护理学] R473.5[医药卫生—临床医学]