社区2型糖尿病患者糖化血红蛋白检测情况及其影响因素分析

Analysis of Glycated Hemoglobin Detection and Its Influencing Factors in Patients with Type 2 Diabetes in Community

目的调查了解本社区2型糖尿病患者糖化血红蛋白检测依从性,并分析其影响因素。方法选择2018年3—12月新泾街道社区卫生服务中心社区管理的420例2型糖尿病患者为调查对象,统计420例患者糖化血红蛋白检测频率评定其依从性,根据患者的检测依从性分为依从性组和不依从组,比较两组患者糖化血红蛋白达标率,并采用相关因素logisitic多元回归分析法分析影响患者依从性的因素。结果两组患者在年龄、文化程度、有无焦虑情绪、有无抑郁情绪、有无糖尿病病史、糖尿病认知程度、自我效能感水平高低方面的百分比比较差异有统计学意义(P<0.05)。经Logistic多因素回归分析显示,合并焦虑情绪、抑郁情绪、无糖尿病家族史、对糖尿病认知程度欠佳、自我效能感欠佳是影响患者糖化血红蛋白检测依从性的主要因素。结论提高2型糖尿病患者糖化血红蛋白检测依从性能够有效控制其血糖水平稳定,焦虑抑郁情绪、疾病认知度低、自我效能感低、无糖尿病家族史等因素会影响患者的检测依从性,因此临床应加强对2型糖尿病患者的健康宣教和心理干预,纠正其对糖化血红蛋白的错误认知,以进一步提高检测依从性。

Objective To investigate the compliance of glycated hemoglobin detection in patients with type 2 diabetes in this community and analyze its influencing factors.Methods From March to December 2018,420 patients with type 2 diabetes mellitus managed by the community of Xinjing Street Community Health Service Center were selected as the survey subjects.The compliance of 420 patients with glycated hemoglobin was evaluated to evaluate their compliance.They were divided into compliance group and non-compliance group,compared the glycated hemoglobin compliance rate of the two groups of patients,and used the relevant factor logisitic multiple regression analysis to analyze the factors affecting patient compliance.Results There were statistically significant differences in the percentages of patients in the two groups in terms of age,education,anxiety,depression,history of diabetes,diabetes awareness,and level of self-efficacy(P<0.05).Logistic multivariate regression analysis showed that anxiety,depression,no family history of diabetes,poor awareness of diabetes,and poor self-efficacy were the main factors affecting the compliance of patients with glycated hemoglobin.Conclusion Improving the compliance of glycated hemoglobin in patients with type 2 diabetes can effectively control the stability of their blood glucose levels,anxiety and depression,low disease awareness,low self-efficacy,and no family history of diabetes can affect patients'compliance.Health education and psychological intervention for patients with type 2 diabetes should be strengthened to correct their misunderstanding of glycated hemoglobin in order to further improve test compliance.