136例基层老年糖尿病患者健康知识与行为调查及对策分析

Investigation and Counter measure Analysis of health knowledge and behavior on 136 Cases of Grassroots Elderly Patients with Diabetes

目的调查老年糖尿病患者对糖尿病综合治疗措施的认知和行为状况,为提高糖尿病健康教育的针对性提供依据。方法自行编制调查问卷,随机对浒山街道4个社区的136名60岁以上老年糖尿病患者进行问卷调查。结果老年糖尿病患者了解正常血糖值者占61.7%,认识到糖尿病"健康教育、饮食、运动、药物及自我血糖监测"综合治疗措施者占22.1%,能回答本人所用降糖药物的名称、副作用和注意事项者占16.2%,能定期进行血糖监测者占55.9%,按医生要求进行饮食控制者占27.9%,外出时随身携带含糖食物者占10.3%,了解糖尿病足正确护理方法者占17.6%。结论老年糖尿病患者对糖尿病综合治疗知识及糖尿病足、糖尿病眼的正确护理知晓程度不高,社区卫生服务应建立适应老年糖尿病患者的健康干预措施,提高老年糖尿病患者的自我管理水平,尽可能提高老年糖尿病患者的生活质量。

OBJECTIVE To investigate the acknowledgement and behavioral status of comprehensive diabetes treatment measure in elderly patients with diabetes and provide foundation to improve the targeted health education. METHODS a random survey of 136 cases elderly patients（more than 60 years old）with diabetes in four communities of Hushan street was conducted according to our own prepared questionnaire. RESULTS In all investigation objects, 61.7% diabetics understand normal blood glucose; 22.1% diabetics have recognized Comprehensive treatment measures of Health education, diet, exercise, medication and self- monitoring of blood glucose; 16.2% diabetics can answer drug name, side effects and precautions of the used hypoglycemic drugs; 55.9% diabetes insist on blood glucose monitoring regularly; 27.9% diabetes can comply diet control following the doctor＇ s advice; 10.3% diabetes Carry sugary foods; 17.6% Correct understand the care method of diabetic foot. CONCLUSION The elderly patients with diabetes lack the proper knowledge of comprehensive treatment of diabetes, diabetic foot and diabetic eye. Community health services should establish health interventions and the self-management level to adapt to the elderly diabetic patients, which can maximize the quality life of the elderly diabetic patients. Key words elderly; Diabetes;Health knowledge;Health Education