2型糖尿病患者自我血糖监测依从性的干预研究

The compliance with self-blood glucose monitoring in patients with type 2 diabetes mellitus

目的调查了解2型糖尿病患者自我血糖监测(self-monitoring of blood glucose,SMBG)依从性现状与影响因素,为制定出有针对性干预措施,提高2型糖尿病患者SMBG依从性水平提供临床依据。方法2018年9~12月,采用分层整群抽样方法取南华大学附属南华医院收治2型糖尿病患者840例,采用自制SMBG依从性现状调查问卷进行调查,了解2型糖尿病患者SMBG依从性现状,采用单因素分析和多因素logistic回归分析法对2型糖尿病患者SMBG依从性影响因素。结果SMBG依从性达标143例(17.02%),未达标697例(82.98%)。多因素logistic回归分析显示,月平均收入(OR=3.71,95%CI:1.77~8.49,P=0.000)、对SMBG的认知(OR=2.97,95%CI:1.19~7.52,P=0.011)、治疗方式(OR=3.64,95%CI:1.44~8.57,P=0.000)为影响SMBG的独立因素。结论应加强2型糖尿病患者SMBG教育,提高对SMBG认知水平,全面了解疾病治疗方法和SMBG对疾病控制的重要性,降低血糖监测费用,以提高2型糖尿病患者SMBG依从性水平。

Objective To understand the compliance of self-monitoring of blood glucose(SMBG)in patients with type 2 diabetes mellitus,and to discuss its influencing factors.Methods From September 2018 to December 2018,840 patients with type 2 diabetes mellitus in Nanhua Hospital Affiliated to Nanhua Uinversity were selected by stratified cluster sampling method.A survey was conducted using general demographic questionnaire and self-designed SMBG compliance status questionnaire to collect related data,Univariate and multivariate logistic regression analysis was used to analyze the influencing factors of SMBG compliance of patients.Results The compliance rate was only 17.02%(143/840).Multivariate logistic regression analysis showed that financial status(OR=3.71,95%CI:1.77-8.49,P=0.000),cognition for SMBG(OR=2.97,95%CI:1.19-7.52,P=0.011)and treatment method(OR=3.64,95%CI:1.44-8.57,P=0.000)were independent factors affecting SMBG.Conclusions The compliance to SMBG of patients with type 2 diabetes mellitus is unsatisfactory.In order to improve the compliance rate,education on SMBG should be strengthened to,improve patients′cognitive level to comprehensively understand the importance of SMBG.