参保糖尿病患者相关健康行为调查分析

Survey and Analysis on Related Health Behavior of the Insured Diabetes Patients

目的了解参保糖尿病患者相关的健康行为,为医疗保险糖尿病患者的就医管理政策提供依据。方法采用入户调查方式,在北京、武汉、广州3地共获得1 292例病例资料,调查了2008年糖尿病患者的生活行为、并发证等内容。结果参保糖尿病人的吸烟比例为15.1%,饮酒比例8.7%,控制饮食比例89.3%,参加锻炼比例75.2%。锻炼行为在有无并发证间存在统计学差异(χ2=11.364,P<0.002)。参加锻炼者的并发证比例为32.8%,低于不参加锻炼者比例(43.3%)(χ2=11.651,P<0.002);在参加锻炼者中,无吸烟行为者的并发证比例为31.1%,低于有吸烟行为者的并发证比例(42.9%)(χ2=7.555,P<0.002)。结论锻炼身体可能是减少并发证的主要因素,在锻炼的基础上戒烟又可进一步降低并发证。

Objectives To understand related health behavior of the insured diabetes patients,and to provide evidence for medical management policy on the diabetes patients of medical insurance.Methods 1 292 cases of medical records of the diabetes patients with insurance were investigated the life behaviors,complications and other contents using household survey in Beijing,Guangzhou and Wuhan in 2008.Results The smoking proportion of the insured diabetes patients was 15.1%,drinking proportion 8.7%,diet control proportion 89.3%,and exercise participation 75.2%.There was significant difference between the groups with or without complications on exercise behavior(χ2=11.364,P<0.002).The complication proportion of patients participated in exercise was 32.8%,lower than that of those not participated in exercise 43.3%(χ2=11.651,P<0.003);among patients participated in exercise,the complication proportion of no smoking actors was 31.1%,lower than that of smoking actors 42.9%(χ2=7.555,P<0.02).Conclusions Doing exercise was the first primary factor in reducing complications,and quitting smoking could reduce complications further on the basis of doing exercise.