臧小娥,朱雅萍.南京西路街道社区2型糖尿病患者自我血糖监测的调查分析[J].上海护理,2016,16(8):
南京西路街道社区2型糖尿病患者自我血糖监测的调查分析
DOI:
中文关键词:  2型糖尿病  自我血糖监测  糖尿病管理
英文关键词:Type 2 diabetes  Self blood  glucose monitoring  Diabetes management
基金项目:静安区卫生计生系统第三批十百千卫生人才科研课题(项目编号:JWRC2014Q39)
作者单位E-mail
臧小娥 上海市静安区南京西路街道社区卫生服务中心 上海 200041 ydd164@163.com 
朱雅萍* 上海市静安区南京西路街道社区卫生服务中心 上海 200041 nxkjk2014@126.com 
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中文摘要:
      【】目的 了解社区2型糖尿病患者自我血糖监测情况及其影响因素,为社区糖尿病教育和预防工作提供参考依据。方法 随机选取南京西路社区在册管理的339例2型糖尿病患者,对其血糖监测情况及有关糖尿病知识、健康信念和自我效能等进行问卷调查。采用Logistic回归法分析社区糖尿病患者家庭血糖监测的影响因素。结果 本次调查中能按要求进行家庭监测血糖者占37.2%。患者就诊和监测血糖的间隔时间,57.2%的患者间隔l~2个月,32.7%的患者间隔较长时间才复查或监测血糖,8.3%的患者是在感觉身体不适时才就诊,1.8%的患者确诊后从未再就诊。患者的血糖自我监测水平与经济收入、血糖监测等技能掌握得分、健康信念呈正相关(p<0.01)。结论 应强化患者自我血糖监测的意识,扩大教育途径范围,提高自测血糖技能,倡导患者家庭成员教育和同伴支持教育,以解决目前糖尿病监测管理薄弱环节,提高社区糖尿病患者管理工作的效率。
英文摘要:
      Objective To evaluate the situation of self blood glucose monitoring in patients with type 2 diabetes mellitus and its influence factors, and provide reference for the community diabetes education and prevention. Methods Nanjing West Road community registered 339 cases of type 2 diabetic patients were randomly selected and for the blood glucose monitoring and knowledge about diabetes, health belief and self efficacy of the questionnaire. Analysis of the influence factors of family blood glucose monitoring in patients with diabetes mellitus by Logistic regression analysis.Result According to the survey, 37.2% of the household monitoring blood glucose was required. The patients were treated with blood glucose, and 57.2% of patients were treated with L to 2 months, 32.7% of patients had a long time to review or monitor blood glucose, 8.3% of patients were not treated with the feeling of physical discomfort, and 1.8% of patients had never been treated. The level of blood glucose monitoring was positively correlated with the scores of skills such as economic income, blood glucose monitoring, and health beliefs (p<0.01). Conclusion we should strengthen awareness of patients self monitoring of blood glucose, education way to expand the scope of and improve the self-monitoring skills, advocating family members of patients with education and peer support education, to solve the current diabetes monitoring and management weak links, improve the efficiency of patients with diabetes in community management.
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