糖尿病控制不良患者健康相关行为的分析及干预对策

Health-related Behaviors of Patients with Poorly Controlled Diabetes: Analysis and Strategies

目的分析血糖控制不良患者的健康相关行为,探讨导致其血糖控制不良的原因,进而提出应对策略。方法方便性抽样选择年龄在55～75岁的社区糖尿病患者210例对其进行血糖与糖化血红蛋白(HbA1c)检测,对其中血糖控制不良者150例进行相关因素的调查分析。结果 2型糖尿病控制不良患者对血糖、HbA1c检测的认知情况、体质量控制、饮食和锻炼的认知情况、血糖控制意愿、对糖尿病的信息获取与理解、采用胰岛素治疗的认知等方面均存在一定的问题。结论卫生职能部门、医务人员、患者及其家庭成员应通过各种途径加强对血糖控制不良患者的管理,提高其对血粮控制不良的认知,促使其建立正确的健康相关行为。

Objective To investigate the health-related behaviors of patients with poorly controlled diabetes,and to analyze the reasons of poor blood glucose control, so as to put forward some specific coping strategies. Methods By convenience sampling,210 patients with diabetes aged 55-75 years old at the community were selected to carry out blood glucose and glycosylated hemoglobin （HbAlc） test. Among them, 150 patients with poorly controlled blood glucose were investigated and analyzed on the relevant factors. Results There were some problems among subjects with poorly controlled type 2 diabetes in terms of worse awareness about blood glucose test, HbAle test, weight control, diet, exercise, the wishes of blood glucose control, information and understanding of diabetes and awareness of insulin therapy. Conclusion Health departments,medical staff,patients and their family members should enhance the management and improve their awareness of patients with poorly controlled diabetes in a variety of ways so as to establish positive health-related behaviors.