57例肺结核合并糖尿病维吾尔族患者血糖监测依从性分析

Analysis on compliance of blood glucose monitoring in 57 Uighur patients with tuberculosis and diabetes

目的了解住院肺结核病合并糖尿病的维吾尔族患者血糖监测的现状。方法抽取本院57例肺结核合并糖尿病的维吾尔族患者的病历资料,查看血糖监测记录表,比较医嘱测血糖天数、次数和实测血糖天数、次数。结果医嘱测血糖天数、次数和实测血糖天数、次数完全相同者13例(22.81%),医嘱天数与实际天数相同的有40例(70.18%),医嘱次数与实际次数相同的有16例(28.07%),医嘱测血糖天数、次数和实际监测血糖天数、次数差异有统计学意义(P<0.05)。结论住院肺结核合并糖尿病的维吾尔族患者监测血糖依从性差,应对患者加强血糖监测意义的教育,改变健康宣教方式,同时也要对医护人员加强糖尿病知识的培训。

Objective To know the status of blood glucose monitoring in hospitalized patients with tuberculosis and diabetes. Methods The records of 57 tuberculosis cases with diabetes were reviewed and the blood glucose monitoring record sheets were checked and blood glucose monitoring days and times of doctors＇ suggestion were compared with the real situation of blood glucose monitoring of patients. Results There were 13 cases （22.81%） in accordance with the doctor＇s advice the number of days and times. Forty cases（70.18% ） was in accordance with the number of days suggested by doctor, Sixteen cases（28.07% ） were in accordance with number of times recommended by doctor. There were significantly differences in numbers and days between real situation and prescription of doctors （P 〈 0.05）. Conclusion The obedience of blood glucose monitoring in hospitalized patients with tuberculosis and diabetes is poor. The patients should strengthen health education for blood glucose monitoring and change the ways of diabetes knowledge. And the training of medical staff on diabetes knowledge is imperative.