糖尿病饮食知识对2型糖尿病患者再入院率的影响

Impact of diabetes dietary knowledge on hospital readmission rate among patients with type 2 diabetes mellitus

目的 探讨2型糖尿病患者的糖尿病饮食知识对其再入院率的影响.方法 采用一般资料调查表、糖尿病饮食管理知识问卷,调查苏州地区的334例2型糖尿病患者糖尿病饮食知识对其半年再入院率的影响.结果 半年内＂是＂＂否＂发生低血糖、糖尿病饮食知识得分与半年再入院率有关;较之无低血糖人群,有低血糖人群的半年再入院率较高（回归系数=1.276,P〈0.01）;糖尿病饮食知识得分越高,半年再住院率越高（回归系数=0.049,P=0.006）;进一步分析显示,有低血糖患者的糖尿病饮食知识得分高者,半年再住院率较高（P=0.01）.结论 2型糖尿病患者的半年再住院率受低血糖发生、糖尿病饮食知识掌握情况影响,应进一步探索其原因,并进行合理的干预.

 Objective To explore the effect of dietary knowledge of diabetes on the readmission rate on patients with type 2 diabetes mellitus. Methods Totally 334 patients of type 2 diabetes from Suzhou finished the general information and the questionnaires of knowledge of diabetes diet. The impacts of knowledge of diabetes dietary on their readmission rates were also analyzed. Results Both whether having hypoglycemia or not and the score of diabetes dietary knowledge were associated with readmission rate within half a year. Those having low blood sugar （B=1.276, P〈0.01） and higher score of diabetes dietary knowledge （B = 0.049, P = 0.006） had higher readmission rate. Further analysis showed that patients with low blood sugar getting higher score of diabetes dietary knowledge had higher hospital admission rate （P = 0.01）. Conclusions The readmission rate of type 2 diabetes mellitus patients was impacted by hypoglycemia occurrence and the familiarity degree of diabetes diet knowledge. So it′s important to further explore the causes and make the reasonable intervention to reduce the readmission rate.