摘要
目的 探讨老年糖尿病患者的营养健康管理,为制定科学防控策略提供依据.方法 2020年1月—2023年12月,采用多阶段分层整群抽样方法选取绍兴市柯桥地区108例老年糖尿病患者作为调查对象,调查其血糖控制现状,采用二元logistic回归分析影响其血糖控制的因素.结果 血糖控制未达标组患者年龄＞75岁、病程≥10年、进行消化道手术、文化程度为高中以下、居住在农村、吸烟、未签约家庭医生的占比高于血糖控制达标组(P＜0.05).年龄较大、病程较长、进行消化道手术、文化程度偏低、居住在农村、吸烟均为影响患者血糖控制不达标的因素(P＜0.05),接受过消化道手术的患者血糖控制更难达标.结论 绍兴市柯桥地区老年糖尿病患者血糖控制水平仍有提升空间,需基于营养健康管理对进行消化道手术等的糖尿病患者进行针对性干预,采取合理膳食并制定运动计划,提高其血糖控制率.
Abstract
Objective To explore the nutrition and health management of elderly patients with diabetes,and to provide basis for formulating scientific prevention and control strategies.Methods From January 2020 to December 2023,a multistage stratified cluster sampling method was used to investigate the current situation of blood sugar control in 108 elderly diabetes patients in Keqiao District,Shaoxing.Logistic multifactor analysis was used to analyze the factors affecting the blood sugar control of the respondents.Results The proportion of patients who were over 75 years old,had a disease course of ≥ 10 years,underwent gastrointestinal surgery,had a high school education or below,lived in rural areas,smoked,and did not sign a family doctor in the group who did not meet the blood glucose control standards was higher than in the blood glucose control group(P＜0.05).Older age,longer course of illness,undergoing digestive tract surgery,lower education level,residing in rural areas,and smoking(P＜0.05)were all related factors that affect inadequate blood glucose control in patients.Patients who had undergone digestive tract surgery had a harder time achieving blood glucose control.Conclusion There is still room to improve the level of blood sugar control of elderly diabetes patients in Keqiao District,Shaoxing.Based on nutrition and health management,targeted intervention should be carried out for diabetes patients such as digestive tract surgery,reasonable diet and exercise plan should be taken to improve the rate of blood sugar control.
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