COPD合并糖尿病患者糖尿病认知的现状调查及分析

Investigation and analysis on the status of diabetes cognition among COPD patients complicated with diabetes mellitus

目的了解某三级甲等医院COPD合并糖尿病患者的糖尿病认知现状。方法采用自制COPD合并糖尿病患者糖尿病认知现状调查问卷,对240例COPD合并糖尿病患者进行问卷调查。结果不同性别患者在糖尿病低血糖反应症状及处理原则方面差异具有统计学意义(P<0.01);不同年龄患者在糖尿病病因、糖尿病临床表现及并发症、糖尿病治疗方面差异具有统计学意义(P<0.01或P<0.05);不同文化程度患者在长期使用糖皮质激素与糖尿病发生的相关性和糖尿病治疗方面差异具有统计学意义(P<0.01或P<0.05);不同COPD病程患者在长期使用糖皮质激素与糖尿病发生的相关性、糖尿病病因、糖尿病低血糖反应症状及处理原则、糖尿病治疗方面差异具有统计学意义(P<0.01或P<0.05);不同糖尿病病程患者在糖尿病病因、糖尿病临床表现及并发症、糖尿病低血糖反应症状及处理原则、糖尿病治疗方面差异具有统计学意义(P<0.01或P<0.05)。结论临床护士应根据COPD合并糖尿病患者的具体情况对患者实施个体化的糖尿病相关知识的健康教育,以便更好地控制患者的血糖,促进COPD的预后,提高COPD合并糖尿病患者的血糖自我管理水平。

Objective To understand the status of diabetes cognition among COPD patients complicated with diabetes mellitus. Method Totally, 240 COPD patients complicated with diabetes mellitus were investigated by self - designed questionnaire about their knowledge of diabetes mellitus. Results There were significant differences between different gender patients in hypoglycemia symptoms and treatment principles （ P 〈 0.01 ）, among different age patients in diabetes mellitus causes, clinical manifestation and complications, treatment （P 〈 0.01 or P 〈 0.05 ）. There were significant differences between a- mong different education background patients in correlation between long term using glueocortieoid and diabetes and diabetes treatment （ P 〈 0. 01 or P 〈 0.05 ）, among different COPD stages patients in correlation between long - term using glucocorticoid and diabetes, diabetes mellitus causes, hypoglycemia symptoms and treatment principles, diabetes treatment （ P 〈 0.01 or P 〈 0.05 ）. There were significant differences between different diabetes stages patients in di- abetes mellitus causes, clinical manifestation and complications, hypoglycemia symptoms and treatment principles, diabetes treatment （ P 〈 0.01 or P 〈 0.05 ）. Conclusion The diabetes related health education for COPD patients should be specific according to their situations,in order to control the glucose, promote the prognosis and improve their self - control of glucose.