上海市远郊社区2型糖尿病患者自我血糖监测知识、态度、行为调查及影响因素分析  

Investigation on Knowledge,Attitude and Behavior of Self-Monitoring of Blood Glucose in Patients with Type 2 Diabetes in Communities in the Outer Suburbs of Shanghai and Research on Influencing Factors

作　　者：周洁 范恩芳 夏琳 沈丽 Zhou Jie;Fan Enfang;Xia Lin;Shen Li(Nicheng Community Health Service Center,Pudong New Area,Shanghai,201306,China;不详)

机构地区：[1]上海市浦东新区泥城社区卫生服务中心,上海201306 [2]复旦大学附属浦东医院,上海201313

出　　处：《中国初级卫生保健》2025年第4期21-24,29,共5页Chinese Primary Health Care

基　　金：上海市浦东新区科技发展基金民生科研专项(PKJ2021-Y55);上海市浦东新区卫生健康委员会优秀青年医学人才培养计划(PWRq2020-37)。

摘　　要：目的:调查上海市远郊社区2型糖尿病患者自我血糖监测知识、态度、行为现况,分析该人群自我血糖监测行为的影响因素,为进一步完善其自我管理能力提供参考依据。方法:采用方便抽样法,2024年1—3月选取上海市浦东新区泥城镇辖区内304例2型糖尿病患者进行问卷调查,内容包括一般情况,自我血糖监测知识、态度、行为情况。结果:304例调查对象自我血糖监测知识、态度、行为各维度得分总均分为(17.93±3.40)分,其中知识维度(8.70±2.48)分、态度维度(5.61±0.87)分、行为维度(4.12±1.69)分,而家庭月收入、医疗费报销方式、糖尿病家族史、血糖仪配备、血糖监测频次等均是其自我血糖监测知识、态度、行为的影响因素(t值分别为5.026、4.244、7.944、2.437、6.655、11.557,P<0.05)。结论:上海市远郊社区2型糖尿病患者自我血糖监测知识、态度、行为处于一般水平,且存在多种影响因素,应持续开展社区糖尿病健康促进工作,进一步提升社区糖尿病防治能力。OBJECTIVE To investigate the current status of knowledge,attitude and behavior of self-monitoring of blood glucose in patients with type 2 diabetes in the outer suburbs of Shanghai,analyze the influencing factors of low self-monitoring of blood glucose behavior in this population,and provide a reference for further improving the self-management ability of community diabetic patients.METHODS By convenient sampling method,from January to March 2024,patients with type 2 diabetes in Nicheng Town were selected for questionnaire survey.The survey contents included general situation and knowledge,attitude and behavior of self-monitoring of blood glucose.RESULTS A total of 304 people were surveyed.The total average score of each dimension of knowledge,attitude and behavior of self-monitoring of blood glucose was(17.93±3.40)points,including(8.70±2.48)points in knowledge dimension,(5.61±0.87)points in belief dimension and(4.12±1.69)points in behavior dimension.The analysis showed that occupation,income,medical payment method,family history of diabetes,equipment of blood glucose meter and frequency of blood glucose monitoring were all the influencing factors of knowledge,attitude and behavior of self-monitoring of blood glucose,with statistical differences(t=5.026,4.244,7.944,2.437,6.655 and 11.557,P<0.05).CONCLUSION The knowledge,attitude and behavior of self-monitoring of blood glucose in patients with type 2 diabetes in the outer suburbs of Shanghai are at an average level,and there are many influencing factors.Community diabetes health promotion work should be continuously carried out to further improve the prevention and treatment ability of community diabetes.

关 键 词：社区 2型糖尿病 自我血糖监测 知识、态度、行为 

分 类 号：R473.5[医药卫生—护理学]