某社区卫生服务中心2型糖尿病患者血糖达标情况及其影响因素分析

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中文摘要：目的分析某社区卫生服务中心2型糖尿病患者血糖控制现状及其影响因素。方法选择参加慢性病随访管理的 688 例 2 型糖尿病患者作为研究对象，采用血糖仪测定空腹血糖、糖化血红蛋白及标准馒头餐后 2 h血糖，计算血糖达标率，采用自制的临床病例资料收集表对患者进行一对一调研，比较血糖达标患者与血糖未达标患者临床资料，采用多因素 Logistic回归分析血糖达标的影响因素。结果 688 例 2 型糖尿病患者血糖不达标 474 例，占比为 68。90%，血糖达标 214 例，占比为 31。10%。血糖不达标患者年龄<60 岁、文化程度初中及以下、医保类型城乡居民、病程≥5 年、合并高脂血症、合并高血压、单一用药占比均高于血糖达标患者，规律运动锻炼、健康教育占比均低于血糖达标患者，差异有统计学意义(P<0。05)。多因素Logistic回归分析显示，年龄[OR=1。176，95%CI=(1。004，1。317)]、文化程度[OR=1。225，95%CI=(1。011，1。384)]、医保类型[OR=1。976，95%CI=(1。104，2。694)]、病程[OR=1。917，95%CI=(1。112，2。706)]、规律运动锻炼[OR=1。835，95%CI=(1。098，2。574)]、健康教育[OR=2。050，95%CI=(1。233，2。918)]、合并高脂血症[OR=2。818，95%CI=(1。203，4。486)]、合并高血压[OR=1。603，95%CI=(1。095，2。304)]、用药情况[OR=1。756，95%CI=(1。101，2。511)]是影响血糖达标的独立危险因素(P<0。05)。结论某社区卫生服务中心 2 型糖尿病患者血糖达标情况仍不够理想，需根据影响血糖达标的影响因素制定针对性的社区干预措施，尤其做好健康教育、及时采取联合治疗方案，进而提高血糖达标率。

外文标题：Analysis of glycemic control of type 2 diabetes mellitus patients in a community health center and its influencing factors

外文摘要：Objective To analyze the glycemic control of type 2 diabetes mellitus patients in a community health center and its influencing factors.Methods A total of 688 patients with type 2 diabetes mellitus who participated in the follow-up management of chronic diseases were selected as the study subjects.Fasting blood glucose,glycated hemoglobin and 2 h post-meal blood glucose of standard steamed bread were measured by blood glucose meter,and the glycemic control rate was calculated.The self-made clinical case data collection form was used to conduct one-to-one investigation on patients,and the clinical data of patients with glycemic control and inadequate glycemic control was compared.The influencing factors of glycemic control was analyzed by multi-factor Logistic regression.Results Among 688 patients with type 2 diabetes mellitus,474 cases had inadequate glycemic control,accounting for 68.90%,and 214 cases had glycemic control,accounting for 31.10%.The percentages of<60 years of age,education level of junior high school or below,type of health insurance of urban and rural residents,disease course≥5 years,combined with hyperlipidemia,combined with hypertension,single medication in patients with inadequate glycemic control were higher than those in patients with glycemic control;the percentage of regular exercise and health education in patients with inadequate glycemic control was lower than those in patients with glycemic control;the difference was statistically significant(P<0.05).Multivariate Logistic regression analysis showed that age[OR=1.176;95%CI=(1.004,1.317)],education level[OR=1.225;95%CI=(1.011,1.384)],type of medical insurance[OR=1.976;95%CI=(1.104,2.694)],disease course[OR=1.917;95%CI=(1.112,2.706)],regular exercise[OR=1.835;95%CI=(1.098,2.574)],health education[OR=2.050;95%CI=(1.233,2.918)],combined with hyperlipidemia[OR=2.818;95%CI=(1.203,4.486)],combined with hypertension[OR=1.603;95%CI=(1.095,2.304)],drug use[OR=1.756;95%CI=(1.101,2.511)]were independent risk factors for glycemic control(P<0.05).Conclusion The glycemic control of type 2 diabetes mellitus patients in a community health service center is still not satisfactory.Targeted community-based intervention should be formulated according to the influencing factors,especially health education and timely adoption of combined treatment programs,so as to improve the glycemic control rate.

外文关键词：

Type 2 diabetes in the communityGlycemic controlInfluencing factorsCommunity-based intervention

作者：

朱碧芳

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作者单位：

351100 莆田市城厢区医院,城厢区凤凰山街道社区卫生服务中心

关键词：

2型糖尿病血糖达标影响因素社区干预措施

出版年：

2024

DOI：