首页|影响上海九亭镇社区老年2型糖尿病患者血糖控制的因素分析

影响上海九亭镇社区老年2型糖尿病患者血糖控制的因素分析

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目的:分析社区老年糖尿病患者血糖控制率以及影响因素.方法:收集 2021 年 5 月-2022 年 10 月上海九亭镇社区卫生服务中心慢性病管理系统中的 219 名符合纳入条件的老年糖尿病患者的基本信息及相关临床资料,其中男性 113 例,女性 106 例,年龄为 60~80 岁.分析影响血糖达标的相关因素.结果:219 例老年糖尿病患者的血糖控制率为 39.73%.多因素logistic回归分析结果显示,电访次数增加[(OR)=0.658,(95%CI)=0.399~0.936,P=0.044]、无合并焦虑抑郁情绪[(OR)=0.005,(95%CI)=0~0.605,P<0.001],饮食依从性好[(OR)=0.003,(95%CI)=0~0.048,P=0.001]是社区老年糖尿病患者血糖达标的保护因素.结论:应重视老年糖尿病患者心理状态评估,加强心理健康教育,提高家庭医生的电访频率,与患者多沟通多交流,重视糖尿病饮食健康宣教,提高老年糖尿病患者饮食依从性.
Analysis of factors affecting the blood glucose control of elderly patients with type 2 diabetes in Jiuting Community in Shanghai
Objective:To analyze the blood glucose control rate and the influencing factors of the community elderly patients.Methods:The basic information and related clinical data of 219 elderly patients with diabetes in the chronic disease management system of Jiuting Community Health Service Center from May 2021 to October 2022 were collected,among them,there were 113 male cases and 106 female cases and the age was 60-80 years.The related factors which influenced the blood glucose control were analyzed.Results:The blood glucose control rate of 219 patients was 39.73%.The results of multivariate logistic regression analysis showed that the increase in the number of telephone interviews[(OR)=0.658,(95%CI)=0.399-0.936,P=0.044],no anxiety and depression[(OR)=0.005,(95%CI)=0-0.605,P<0.001],and good diet compliance[(OR)=0.003,(95%CI)=0-0.048,P=0.001]were the protective factors for the community elderly diabetes patients to reach the blood glucose standard.Conclusion:It is necessary to pay attention to the evaluation of the mental state of elderly diabetes patients,strengthen psychological health education,increase the frequency of family doctors'telephone interviews,communicate more with patients,pay attention to the diet health education of diabetes patients,and improve the diet compliance of elderly diabetes patients.

type 2 diabeteselderly peoplecommunityblood glucose controlinfluence factor

高彩红、朱蓓、石磊、袁春兰

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上海市松江区九亭镇社区卫生服务中心全科,上海 201615

上海市松江区泗泾镇社区卫生服务中心全科,上海 201601

2型糖尿病 老年人 社区 血糖控制 影响因素

松江区科学技术攻关项目

22SJKJGG54

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(18)
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