重庆市糖尿病患者管理现状的调查与分析

Investigation and analysis of current situation of diabetics management in Chongqing

目的了解重庆市糖尿病管理及其并发症的现状。方法随机抽取300例病程1年以上的糖尿病患者,通过访谈、回顾病历,填写调查表进行调查。调查内容包括人口学基本信息、糖尿病相关并发症、接受糖尿病健康教育情况、糖尿病自我管理情况、糖尿病患者对治疗方案的遵循情况等。结果 300例患者中均不同程度合并相关并发症;使用口服降糖药的患者占65.00%;84.33%患者接受过不同形式的健康教育,患者参与糖尿病知识培训、饮食指导的比例分别为88.50%和93.30%;患者的糖尿病知识主要通过医务人员获得;坚持定期检查的患者占53.70%,17.50%的患者糖化血红蛋白达标。结论重庆市糖尿病患者管理现状与2007年中国糖尿病防治指南中规定的控制目标存在较大差距。

Objective To understand the current situation of management of diabetes mellitus and its complications in Chongqing.Methods 300 cases of diabetes mellitus with duration of more than one year were collected randomly.Basic demographic information,diabetes-related complications,health education associated with diabetes,diabetes self-management and the compliance to therapeutic regimen of diabetics were investigated through interview,medical record review and questionnaire survey.Results 300 patients all suffered from diabetes-related complications in varying degrees.Patients who accepted oral hypoglycemic agents accounted for 65.00%.84.33% of patients received different forms of health education,and the proportions of patients participated in diabetic knowledge training and dietary gruidance were 88.50% and 93.30%,respectively.Patients obtained diabetes knowledge mainly through medical staff.Patients insisted on regular test accounted for 53.70%,and 17.50% of patients meet the glycosylated hemoglobin goal.Conclusion A large gap exits between current situation of diabetes management in Chongqing and the control target set in China guidance for diabetes prevention and treatment 2007.