兰州市社区2型糖尿病患者对糖尿病知识认知状况调查

Investigation and analysis of diabetes-related knowledge level among patients with diabetes mellitus in the community of Lanzhou City

目的了解兰州市社区2型糖尿病患者糖尿病知识认知情况，并分析相关影响因素。方法采用整群抽样方法对兰州市城关区天庆嘉园社区243例2型糖尿病患者进行问卷调查，同时测量身高、体重、体重指数、空腹血糖，餐后2h血糖、糖化血红蛋白，了解2型糖尿病患者糖尿病知识认知情况，分析影响糖尿病知识认知水平的相关因素。结果243例2型糖尿病患者糖尿病知识认知总分为6．2±2．9分，认知水平差的糖尿病患者占66．7％。随着文化程度升高，认知水平量化评分、认知率升高（均为P〈0．01）。职员、退休人员糖尿病知识认知水平和认知率均高于工人、农民（均为P〈0．01）。Logistic回归分析显示定期复查（比值比：1．427，95％可信区间为1．043～1．953，P=0．026）、高中及以上文化程度（比值比=4．035，95％可信区间为1．454～11．202，P=0．007）有助于糖尿病知识认知程度的提高。结论本社区2型糖尿病患者糖尿病知识认知水平低，对文化程度较低的患者应该给予更多的关注，在糖尿病的预防控制中，必须改进健康教育模式，满足患者及家属对于糖尿病知识的需求，期望更好地控制糖尿病。

Objective To evaluate the levels of diabetes-related knowledge among patients with type two dial betes mellitus in the community of Tianqing Jiayuan of Lanzhou and analyze its related factors. Methods A cluster random sampling study was performed, all the subjects were asked to complete the questionnaires, their height, weight, body mass index were measured, and their fasting blood glucose, postprandial blood glucose and glycosylated hemoglobin were tested, then data were analyzed to understand diabetes-related knowledge levels and the related factors. Results The mean score of diabetes-related knowledge in 243 subjects included in the study was 6.2±2.9, the lower diabetes-related knowledge level group accounted for 66.7%. With the higher education, the cognition level of quantification score and cognition rate were increased; The staff member and the retired people had higher cognition level of quantification scores and cognition rates than the worker and peasants; Logistic regression analysis showed that regularly check-up （OR=1.427, 95% CI： 1.043 - 1.953, P=-0.026） and the high school education or above （OR=4.035, 95% CI： 1.454 - 11.202, P=- 0.007） were the protective factors for the levels of knowledge. Conclusions Current levels of diabetes-related knowledge in patients with diabetes in the community of Tianqing Jiayuan of Lanzhou is not optimistic, we should pay more attention to the patients with the lower education levels, and improve the health education pattem to meet the needs of the diabetic patients and their family members about the knowledge of the prevention and control of diabetes and expect to have better control of diabetes.