增城市农村地区2型糖尿病患者自我血糖监测现状及干预研究

Study on Self Monitoring of Blood Glucose Situations and Intervention in Patients with Type 2 Diabetes in Rural Area of Zengcheng City

目的:了解增城市农村地区2型糖尿病患者自我血糖监测(SMBG)现状,并探讨综合性干预对SMBG的影响。方法:采用问卷调查形式调查增城市农村地区2型糖尿病患者SMBG情况。共发放调查问卷250份,收回有效问卷242份。242例调查对象按随机数字表法分为干预组(n=106)和对照组(n=136),干预组给予综合性干预措施,对照组未行任何干预,比较两组对SMBG认知、态度、行为及血糖控制效果的差异。结果:242例患者中,便携式血糖仪拥有率为17.77%,SMBG监测率为16.12%,SMBG频率为4.51次/月;未进行SMBG的首位原因为"血糖仪和血糖试纸太贵"(80.79%),其次为"自己认为没必要"(70.44%);39例进行SMBG的患者中,仅17.95%的患者对SMBG频率、操作方法、结果记录基本掌握;干预后,干预组SMBG认知率、支持率、检测率及空腹血糖达标率均明显高于对照组(P<0.05)。结论:增城市农村地区2型糖尿病患者SMBG的水平较低,可通过综合性干预提高患者SMBG依从性。

Objective：To understand the self monitoring of blood glucose situation（SMBG） in patients with type 2 diabetes mellitus（T2DM）in rural area of Zengcheng city,and to discuss the effect of comprehensive intervention on SMBG.Method：Patients with type 2 diabetes situation in rural area of Zengcheng city were questioned with questionnaire survey form. A total of 250 questionnaires were issued, and 242 effective questionnaires were recovered.242 cases of patients were randomly divided into interventional group（n=106） and control group（n=136）,patients in interventional group were given comprehensive intervention measures, and control group without any intervention, the effect of SMBG cognition, attitude, behavior and blood glucose control were compared.Result： In the 242 cases of patients,the rate of portable blood glucose meter was of 17.77%,the rate of SMBG was 16.12%,and the frequency of SMBG was 4.51 times per month. The primary reason of not SMBG was ＂blood glucose and blood glucose test paper were too expensive＂（80.79%）, and the second reason was ＂no need for SMBG＂（70.44%）.Only 17.95% patients with the correct knowledge of SMBG frequency,operation method and recording.The cognitive rate,supportive rate,monitorrate and fasting blood glucose standard rate were significantly higher than that of control group（P〈0.05）.Conclusion：The SMBG status in patients with T2 DM is relatively poor in rural area of Zengcheng city,and the compliance of SMBG is expected to be improved by comprehensive intervention.