老年糖尿病患者血糖高质量达标的影响因素分析
Factors influencing good blood glucose control in elderly diabetic patients
乔修琪 1安娜 2王明辉 3王红 4赵付英 5栾然 6曹嘉明 1潘琦1
作者信息
- 1. 北京医院内分泌科 国家老年医学中心 中国医学科学院老年医学研究院,北京 100730;北京协和医学院 中国医学科学院,北京 100730
- 2. 北京京煤集团总医院,北京 102300
- 3. 北京市丰台区蒲黄榆社区卫生服务中心,北京 100075
- 4. 北京市东城区天坛社区卫生服务中心,北京 100050
- 5. 北京市朝阳区高碑店社区卫生服务中心,北京 100024
- 6. 北京市丰台区马家堡社区卫生服务中心,北京 100067
- 折叠
摘要
目的 调查老年糖尿病患者的病情管理情况,探讨影响高质量达标的相关因素.方法 采用问卷调查的方法,回顾性收集北京市5个社区卫生服务中心2022年6月就诊的老年糖尿病患者的血糖控制相关信息,根据是否符合糖化血红蛋白(HbA1c)＜7％且无低血糖、无体重增加的标准分为高质量达标组和非高质量达标组,应用单因素及多元逐步Logistic回归,分析影响老年糖尿病患者高质量达标的危险因素.结果 共回收有效问卷287份,高质量达标组80例(27.9％),非高质量达标组207例(72.1％).两组中性别、病程、有无低血糖、慢性并发症数量、用药剂型、饮酒≥100 g/d、饮食变化、忘服药次数≥1次/周、门诊间隔延长、情绪低落的差异有统计学意义(均P＜0.05).多元逐步Logistic回归分析显示,使用胰岛素、忘服药次数≥1次/周、门诊间隔延长是影响高质量控制的独立危险因素(均P＜0.05).结论 老年糖尿病患者的高质量达标率较低,影响老年糖尿病患者高质量达标的因素有胰岛素的使用、用药依从性、门诊间隔延长.
Abstract
Objective To investigate blood glucose management in elderly diabetic patients and the factors that affected achieving high rates of achieving it.Methods The quality of blood glucose control by elderly diabetic patients who visited five community health service centers in Beijing in June 2022 was surveyed retrospectively using a questionnaire.Participants were divided into the high-quality group and not high-quality groups by the criteria of glycosylated hemoglobin(HbA1c)＜7％without hypoglycemia and weight gain.Single factor analysis and multiple-stepwise Logistic regression analysis were used to identify the relative risk of factors affecting the achievement of good glucose management.Results A total of 287 valid questionnaires were collected,including 80 cases(27.9％)in the high-quality group and 207 cases(72.1％)in the not high-quality group.There were significant differences in sex,course of disease,occurrence of hypoglycemia,number of chronic complications,medication,alcohol consumption,dietary changes,missed medication doses,prolonged outpatient visit intervals,and depressive mood between the two groups(P＜0.05).Multivariate stepwise logistic regression analysis showed that insulin use,missed medication≥1 time/week,and prolonged outpatient visit intervals were independent risk factors for good control(P＜0.05).Conclusions The percentage of elderly diabetes patients with good blood glucose control was low.Factors affecting the rate included insulin use,medication compliance,and prolonged outpatient visit intervals.
关键词
糖尿病/疾病管理/血糖Key words
Diabetes/Disease Management/Blood glucose引用本文复制引用
基金项目
中国医科院创新工程项目(2021-I2M-1-050)
出版年
2024
NETL
NSTL
万方数据