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

Investigation on compliance of blood glucose monitoring and its influencing factors in stroke patients with diabetes mellitus

目的:分析脑卒中合并糖尿病患者血糖监测依从性及其影响因素。方法:选取2014年12月~2016年8月期间于我院进行诊治的89例脑卒中合并糖尿病患者为研究对象,将其血糖监测依从性进行评估,同时比较不同性别、年龄、文化程度、收入情况、病程、自我效能感、情绪状态及血糖监测知识认知度者的血糖监测依从性,同时以Logistic回归分析上述因素与血糖监测依从性的关系。结果:89例脑卒中合并糖尿病患者的血糖监测依从性较高者60例,较高率为67.42%,其中不同性别、年龄、文化程度、收入情况、病程、自我效能感、情绪状态及血糖监测知识认知度者的血糖监测依从性也存在明显差异,且Logistic回归分析显示,上述8项研究因素均与此类患者的血糖监测依从性有密切的关系(P均<0.05)。结论:脑卒中合并糖尿病患者血糖监测依从性仍较低,且性别、年龄、文化程度、收入情况、病程、自我效能感、情绪状态及血糖监测知识认知度均是其重要影响因素,应给予针对性干预。

Objective：To analyze the compliance of blood glucose monitoring and its influencing factors in stroke patients with diabetes mellitus.Methods：A total of 89 stroke patients with diabetes mellitus who were enrolled in our hospital from December 2014 to August 2016 were selected as research objects.The prevalence of blood glucose monitoring was evaluated.The compliances of blood glucose monitoring in patients with different gender,age,education,income,ill condition,self-efficacy,mood condition and knowledge of blood glucose monitoring.The relationships between the above factors and compliance of blood glucose monitoring was analyzed by Logistic regression.Results：Among the 89 stoke patients with diabetes mellitus,the high compliance of blood glucose monitoring was 60 patients with the rate of 67.42%.Among them,patients with different gender,age,educational level,income,course of disease,self-efficacy,emotional status and blood glucose monitoring knowledge showed significant differences in blood glucose monitoring compliance.Logistic regression analysis showed that the above eight factors were closely related to the compliance of blood glucose monitoring in such patients（ all P〈0.05）.Conclusion：The compliance of blood glucose monitoring in stroke patients with diabetes mellitus is still low.Gender,age,educational level,income,duration of disease,self-efficacy,emotional state and knowledge of blood glucose monitoring are important factors and they shall receive targeted intervention.