广东省清远市凤城社区糖尿病患者控制现状的调查及相关因素分析

An investigation on the current situation of control of diabetes mellitus in Fengcheng community of Qingyuan, Guangdong Province and its relevant factors

目的研究清远地区糖尿病(DM)患者病情控制情况及其相关因素。方法采用一般资料调查表、DM知识量表、DM自我管理问卷对于我院门诊就诊的凤城社区DM患者300例进行调查问卷。结果清远市凤城社区DM患者糖化血红蛋白、收缩压、舒张压、血脂达标率较低(分别为8.70%、32.67%、41.33%、16.33%),DM患者认知程度与糖化血红蛋白、收缩压、舒张压、血脂[HbA1c(r=0.192,P=0.010)、血脂(r=0.173,P=0.010)、收缩压(r=0.161,P=0.001)、舒张压(r=0.179,P=0.010)]之间具有相关性。结论欠发达地区社区DM患者控制现状欠佳、DM知识及自我管理能力处于较低水平,亟需提高患者糖尿病防治知识,改善DM患者控制现状。

Objective To study the disease control and related factors of diabetes mellitus（DM） in the patients in Qingyuan. Methods A total of 300 DM patients from Fengcheng Community who were diagnosed in the outpatient clinic in our hospital were surveyed by general information questionnaire, DM knowledge scale and DM self-management questionnaire. Results The levels of glycosylated hemoglobin, systolic blood pressure, diastolic blood pressure and serum lipid were lower in DM patients from Fengcheng community of Qingyuan（8.7%, 32.67%, 41.33% and 16.33% respectively）. Degree of awareness in the DM patients were correlated with glycosylated hemoglobin, systolic blood pressure, diastolic blood pressure and serum lipid [HbAlc（r=0.192, P=0.010）, blood lipid （r=0.173, P=0.010）, systolic pressure（r=0.161, P=0.010）, diastolic pressure（r=0.179, P=0.010）]. Conclusion DM patients in underdeveloped areas have poor control status, and DM knowledge and self-management ability are at a low level. Patients＂ knowledge on diabetes prevention and control are in an urgent need to be improved, so as to improve the current situation of control in DM patients.