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目的调查首都副中心(通州区)社区2型糖尿病(T2DM)患者的血糖控制情况以及自我管理现状,为今后首都副中心开展社区T2DM管理工作提供科学依据。方法于2016年3月选取首都副中心某社区318例T2DM作为调查对象,以糖化血红蛋白(Hb A1C)作为血糖控制指标,糖尿病自我管理行为量表-6(SDSCA-6)得分作为自我管理指标。用SPSS 19.0统计软件进行数据的统计。结果 Hb A1C控制率(Hb A1C<7.0%)为34.9%。SDSCA-6总分为(18.94±13.26)分,仅有27.5%的T2DM患者自我管理总体情况良好。SDSCA-6问卷中,T2DM患者在遵医嘱用药方面得分[(3.08±2.49)分]最高,其次为运动自我管理[(3.02±2.45)分],血糖自我监测得分[(2.63±2.28)分]、血糖监测依从性得分[(2.52±2.11)分]和足部护理得分[(2.80±2.54)分]较低。结论北京市通州区社区T2DM患者Hb A1C控制水平不佳,自我管理总体情况较差,应采取有针对性的干预措施,使患者建立科学管理行为,以及构建医院-社区医联体化糖尿病管理模式,实现社区糖尿病的系统化、规范化、正规化管理。
Objective To investigate the glycemic control status and self-management status of patients with type 2 diabetes (T2DM) in the sub-center (Tongzhou district) of the capital and provide a scientific basis for carrying out community-based T2DM management in the sub-center of the capital in the future. Methods In March 2016, 318 T2DM patients in a suburb of the capital were selected as subjects. Hb A1C was used as a marker of glycemic control and SDSCA-6 scores were taken as self-management indicators. Statistics using SPSS 19.0 statistical software. Results Hb A1C control rate (Hb A1C <7.0%) was 34.9%. The total score of SDSCA-6 was (18.94 ± 13.26) points, and only 27.5% of T2DM patients had good self-management. In the SDSCA-6 questionnaire, T2DM patients had the highest score ([3.08 ± 2.49] points), followed by exercise self-management (3.02 ± 2.45), self-monitoring score of blood glucose (2.63 ± 2.28) , Blood glucose monitoring compliance score (2.52 ± 2.11), and foot care score (2.80 ± 2.54). Conclusion T2DM patients in Tongzhou District of Beijing have poor control of Hb A1C and poor self-management. Targeted interventions should be taken to establish the scientific management of patients and to build a hospital-community medical diabetes management model , To achieve a systematic, standardized and formalized management of community diabetes.