影响2型糖尿病患者血糖监测依从性的相关因素研究
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摘要
目的分析2型糖尿病患者血糖监测依从性的影响因素。方法按照回顾性分析法选择我院2017年1月~2018年6月纳入的250例2型糖尿病患者,收集并整理所有患者基本资料,分析影响2型糖尿病患者血糖监测依从性的相关因素。结果我院250例2型糖尿病患者中,血糖监测依从性较好者有115例,占46.00%;依从性较差者有135例,占54.00%;患者在文化程度、接受血糖监测教育及合并慢性疾病中有明显差异(P <0.05);将上述有差异资料带入Logistic回归方程计算,发现以上因素均属于影响2型糖尿病患者血糖监测依从性的因素。结论 2型糖尿病患者血糖监测依从性较差的发生率较高,导致其依从性较差的因素较多,根据患者具体情况选择有效干预措施,为患者更好地恢复健康提供保障。
Objective To analyze the influencing factors for compliance of blood glucose monitoring in patients with type 2 diabetes mellitus. Methods 250 patients with type 2 diabetes mellitus who were treated in our hospital from January 2017 to June 2018 were selected and retrospectively analyzed.Basic data of all patients were collected and organized. Related factors influencing compliance of blood glucose monitoring in patients with type 2 diabetes mellitus were analyzed. Results Among 250 patients with type 2 diabetes in our hospital,115 patients had better compliance with blood glucose monitoring,accounting for 46.00%.135 patients had poor compliance with blood glucose monitoring,accounting for 54.00%.There were significant differences among the patients in education level,acceptance education of blood glucose monitoring and combination with chronic diseases(P < 0.05).The above differential data were brought into the Logistic regression equation and found that all of the above factors belonged to the factors affecting the compliance of blood glucose monitoring in patients with type 2 diabetes mellitus. Conclusion The incidence of poor compliance of blood glucose monitoring in patients with type 2 diabetes mellitus is high and there are many factors leading to poor compliance.According to the specific situation of patients,effective intervention measures are selected to provide guarantee for better recovery of health of patients.
Objective To analyze the influencing factors for compliance of blood glucose monitoring in patients with type 2 diabetes mellitus. Methods 250 patients with type 2 diabetes mellitus who were treated in our hospital from January 2017 to June 2018 were selected and retrospectively analyzed.Basic data of all patients were collected and organized. Related factors influencing compliance of blood glucose monitoring in patients with type 2 diabetes mellitus were analyzed. Results Among 250 patients with type 2 diabetes in our hospital,115 patients had better compliance with blood glucose monitoring,accounting for 46.00%.135 patients had poor compliance with blood glucose monitoring,accounting for 54.00%.There were significant differences among the patients in education level,acceptance education of blood glucose monitoring and combination with chronic diseases(P < 0.05).The above differential data were brought into the Logistic regression equation and found that all of the above factors belonged to the factors affecting the compliance of blood glucose monitoring in patients with type 2 diabetes mellitus. Conclusion The incidence of poor compliance of blood glucose monitoring in patients with type 2 diabetes mellitus is high and there are many factors leading to poor compliance.According to the specific situation of patients,effective intervention measures are selected to provide guarantee for better recovery of health of patients.
引文
[1]毛睿睿,杜映红,许丽娴,等.实时动态血糖监测早期2型糖尿病肾脏疾病患者血糖波动的效果观察[J].中国糖尿病杂志,2017,25(10):878-881.
[2]马婧,谭翠霞,钟莉,等.应用动态血糖监测系统评估血糖控制良好2型糖尿病患者的低血糖[J].中华糖尿病杂志,2017,9(7):428-434.
[3]Dallosso HM,Bodicoat DH,Campbell M,et al.Self-;monitoring of blood glucose versus self-monitoring of urine glucose in adults with newly diagnosed Type 2 diabetes receiving structured education:a cluster randomized controlled trial[J].Diabetic Medicine:A Journal of the British Diabetic Association,2015,32(3):414-422.
[4]戴蓉.糖尿病患者自我血糖监测现状、影响因素分析及干预研究[J].实用医药杂志,2015,32(9):845-846.
[5]刘栩晗,李国生,李欣宇,等.应用动态血糖监测系统评估糖尿病合并不同阶段的慢性肾脏疾病患者糖化血红蛋白及糖化白蛋白准确性的研究[J].中国糖尿病杂志,2016,24(2):118-122.
[6]于宏.2型糖尿病检测中糖化血红蛋白与血脂检测的临床意义分析[J].当代医学,2018,24(2):62-63.
[7]洛佩,谷成英,徐冬香,等.实时动态血糖监测参与糖尿病管理决策的有效性分析[J].蚌埠医学院学报,2017,42(10):1427-1430.
[8]汪刘涛,薛燕,侯冉,等.影响我国2型糖尿病患者自我血糖监测依从性因素的文献回顾分析[J].临床医药实践,2016,25(1):57-60.
[9]Kerr D.Self-monitoring of blood glucose versus selfmonitoring of urine glucose in adults with newly diagnosed Type 2 diabetes receiving structured education:a cluster randomized controlled trial[J].Diabetic Medicine:A Journal of the British Diabetic Association,2015,32(8):1116.
[10]郑雪瑛,翁建平,骆斯慧,等.广东省成人1型糖尿病患者自我血糖监测及其影响因素调查[J].中华糖尿病杂志,2016,8(4):215-219.
[11]王僚阳,欧晓慧.脑卒中合并糖尿病患者血糖监测依从性及其影响因素调查研究[J].护理实践与研究,2017,14(12):111-113.
[12]李云鹰,王琼莲,何兰萍,等.随访在糖尿病患者自我血糖监测中的效果分析[J].四川医学,2015,36(9):1320-1321.
[13]邓钰,陆川.57例肺结核合并糖尿病维吾尔族患者血糖监测依从性分析[J].实用临床医药杂志,2015,19(22):29-30,37.
[14]陆军.动态血糖监测对糖尿病患者综合治疗依从性的影响[J].齐鲁护理杂志,2017,23(9):53-55.
[15]Kusunoki Yoshiki,Katsuno Tomoyuki,Nakae Rie,et al.Evaluation of blood glucose fluctuation in Japanese patients with type 1 diabetes mellitus by self-monitoring of blood glucose and continuous glucose monitoring[J].Diabetes Research and Clinical Practice,2015,108(2):342-349.
[2]马婧,谭翠霞,钟莉,等.应用动态血糖监测系统评估血糖控制良好2型糖尿病患者的低血糖[J].中华糖尿病杂志,2017,9(7):428-434.
[3]Dallosso HM,Bodicoat DH,Campbell M,et al.Self-;monitoring of blood glucose versus self-monitoring of urine glucose in adults with newly diagnosed Type 2 diabetes receiving structured education:a cluster randomized controlled trial[J].Diabetic Medicine:A Journal of the British Diabetic Association,2015,32(3):414-422.
[4]戴蓉.糖尿病患者自我血糖监测现状、影响因素分析及干预研究[J].实用医药杂志,2015,32(9):845-846.
[5]刘栩晗,李国生,李欣宇,等.应用动态血糖监测系统评估糖尿病合并不同阶段的慢性肾脏疾病患者糖化血红蛋白及糖化白蛋白准确性的研究[J].中国糖尿病杂志,2016,24(2):118-122.
[6]于宏.2型糖尿病检测中糖化血红蛋白与血脂检测的临床意义分析[J].当代医学,2018,24(2):62-63.
[7]洛佩,谷成英,徐冬香,等.实时动态血糖监测参与糖尿病管理决策的有效性分析[J].蚌埠医学院学报,2017,42(10):1427-1430.
[8]汪刘涛,薛燕,侯冉,等.影响我国2型糖尿病患者自我血糖监测依从性因素的文献回顾分析[J].临床医药实践,2016,25(1):57-60.
[9]Kerr D.Self-monitoring of blood glucose versus selfmonitoring of urine glucose in adults with newly diagnosed Type 2 diabetes receiving structured education:a cluster randomized controlled trial[J].Diabetic Medicine:A Journal of the British Diabetic Association,2015,32(8):1116.
[10]郑雪瑛,翁建平,骆斯慧,等.广东省成人1型糖尿病患者自我血糖监测及其影响因素调查[J].中华糖尿病杂志,2016,8(4):215-219.
[11]王僚阳,欧晓慧.脑卒中合并糖尿病患者血糖监测依从性及其影响因素调查研究[J].护理实践与研究,2017,14(12):111-113.
[12]李云鹰,王琼莲,何兰萍,等.随访在糖尿病患者自我血糖监测中的效果分析[J].四川医学,2015,36(9):1320-1321.
[13]邓钰,陆川.57例肺结核合并糖尿病维吾尔族患者血糖监测依从性分析[J].实用临床医药杂志,2015,19(22):29-30,37.
[14]陆军.动态血糖监测对糖尿病患者综合治疗依从性的影响[J].齐鲁护理杂志,2017,23(9):53-55.
[15]Kusunoki Yoshiki,Katsuno Tomoyuki,Nakae Rie,et al.Evaluation of blood glucose fluctuation in Japanese patients with type 1 diabetes mellitus by self-monitoring of blood glucose and continuous glucose monitoring[J].Diabetes Research and Clinical Practice,2015,108(2):342-349.