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目的调查某院2型糖尿病患者的自我管理行为,进一步探讨其与血糖控制情况的关系。方法采取随机抽样的方法,选取某医院2013年11月-2014年11月期间就诊的328例2型糖尿病患者采用糖尿病患者管理行为量表进行调查。结果糖尿病患者自我管理行为平均得分为(66.36±12.24)分,得分指标在40%~80%的患者占96.04%。遵医嘱用药得分最高,规律运动得分最低。相关分析结果表明,自我管理行为各维度得分与糖化血红蛋白水平呈负相关(r=-0.462,P=0.000)。logistic回归分析显示:规律运动(OR=0.491,95%CI:0.312~0.772)、危险因素管理(OR=0.501,95%CI:0.273~0.917)是糖化血红蛋白的重要影响因素。结论该院2013-2014年2型糖尿病患者自我管理行为的现状较差,血糖控制不理想。应对2型糖尿病患者进行个性化教育,改善其自我管理行为,有效控制血糖。
Objective To investigate the self-management of patients with type 2 diabetes in a hospital and to further explore its relationship with glycemic control. Methods A random sampling method was used to investigate the management of type 2 diabetes mellitus in 328 patients with type 2 diabetes from November 2013 to November 2014 in a hospital. Results The average self-management score of diabetic patients was (66.36 ± 12.24) points, and the scores of patients with scores of 40% -80% were 96.04%. Advised the highest medication score, the lowest regular exercise score. Correlation analysis showed that all dimensions of self-management behavior had negative correlation with HbA1c (r = -0.462, P = 0.000). Logistic regression analysis showed that regular exercise (OR = 0.491, 95% CI: 0.312-0.772) and risk factor management (OR = 0.501,95% CI: 0.273-0.917) were the important influential factors of HbA1c. Conclusion The status of self-management of patients with type 2 diabetes mellitus between 2013 and 2014 in this hospital is poor, and the blood glucose control is not satisfactory. Patients with type 2 diabetes should be personalized education, improve their self-management behavior, effective control of blood sugar.