社区开展规范化随访管理前糖尿病患者自我管理现况调查

The Investigation of the self-management Status for the DM Patients Before Standardized follow-up management

目的了解社区开展规范化随访管理前糖尿病病人自我管理情况和病情控制情况,明确糖尿病患者社区开展药物治疗和非药物干预重点,为更有针对性地在社区内有效开展综合防治工作提供科学依据。方法采用问卷调查方法,对大连市内部分社区内1 067例糖尿病病人的一般情况、行为生活方式、相关知识知晓情况及自我管理情况进行调查,并进行血糖检测,然后进行数据的整理分析。结果大连市社区糖尿病患者年龄平均70.51±8.707岁,>60岁患者占92.9%;有家族史者占11.1%;有吸烟饮酒情况的分别占5.2%和6.3%,多数患者有锻炼习惯;有11%的患者从不监测血糖;对于>45岁人群易患糖尿病、糖尿病患者易并发高血压及糖尿病患者应低脂少油饮食的相关知识知晓率分别为24.7%、44.3%、40.0%;能完全按照医嘱服药者占30.2%;血糖控制达标的占48.1%。结论大连市社区糖尿病患者需强化规范化随访管理,并提高自我管理能力,特别是增强血糖监测、糖尿病相关知识的普及合理开展药物治疗和非药物干预,提高糖尿病患者的生活质量。

Objective To investigate self-management status of the DM patients before Standardized follow-up management, and to make sure the keystone of Drug treatment and Non-drug therapy and diabetes education in the DM patients, then provide a scientific basis for more targeted and effective diabetes prevention and control work within the community. Methods With the questionnaire on life-style ＆ self-management status ＆ the passed degree of DM knowledge,1067 DM patients in Dalian were investigated. Results The average age of the patients is 70.51±8.707,92.9% of them over 60 years old and 11% of them admit their family history. The percent of who smoke and drink are 5.2% and 6.3%, there are 11% of them never inspect their fog. There were 30.2% of them can obey doctors, and the passed degree of he who are older then 45 years is easy suffering＆ the DM＇s blood pressure is easy higher then others＆ the DM should have less fat are 24.7%, 44.3%, 40.0%. DM＇s blood sugar control rates is 48.1%. Conclusion The investigation revealed the life-style of DM patients needs being amended and Standardized follow-up management and the self-management is imperfect and in addition, the DM knowledge is insufficien, blood sugar monitoring; Non drug intervention and Drug treatment.