抗击新型冠状病毒肺炎期间武汉市糖尿病患者血糖管理状况调查分析

Investigation on the blood glucose management of diabetic patients during COVID-19 in Wuhan

目的了解抗击新型冠状病毒肺炎(COVID-19)期间武汉市糖尿病患者血糖管理情况。方法2020年2月16—20日期间,对湖北省武汉市正接受降糖药物治疗的糖尿病患者进行问卷调查。问卷内容包括3个方面:被调查者基本情况、血糖管理情况、COVID-19防控情况。使用SPSS 19.0进行统计分析,两组间比较采用χ^2检验。结果共回收有效问卷152份。86例(56.6%)糖尿病患者血糖控制达标,80例(52.6%)坚持定期监测血糖。48例(31.6%)患者目前血糖管理方面遇到的最主要困难为购药困难,其次为门诊复诊调整血糖、坚持适量的运动及合理的饮食,分别为31例(20.4%)、28例(18.4%)及16例(10.5%)。面临就诊问题时,73例(48.0%)患者主要于医院门诊解决;附近药店买药及医院门诊取药是糖尿病患者购药的主要方式,分别为78例(51.3%)、63例(41.5%)。133例(87.5%)糖尿病患者能坚持按时足量用药,分别有39例(25.7%)、17例(11.2%)糖尿病患者受疫情影响而更改原有降糖方案或停用降糖药物,在不同的药物治疗方案及糖尿病病程亚组间,停用降糖药物比例差异有统计学意义(χ^2=13.30,P<0.01;χ^2=8.72,P<0.05)。仅有16例(10.5%)被调查者所在社区卫生服务机构有成熟的糖尿病管理团队。结论抗击COVID-19期间,武汉市糖尿病患者对血糖监测重视程度不够,血糖控制达标情况需进一步提高,针对血糖管理中存在的问题,需制定更完善的血糖管理措施帮助患者抗击疫情。

Objective To investigate the blood glucose management of diabetic patients during the fight against corona virus disease 2019(COVID-19)in Wuhan,China.Methods A questionnaire survey was conducted on diabetic patients receiving hypoglycemic drugs in wuhan,hubei province from February 16,2020 to February 20,2020.The questionnaire included participants′basic information,the management of blood glucose,and the prevention and control of COVID-19.SPSS 19.0 was used for statistical analysis,andχ2 test was used for comparison between the two groups.Results A total of 152 valid questionnaires were retrieved.86 cases(56.6%)diabetic patients achieved glycemic control.80 cases(52.6%)could regularly monitor their blood glucose.48 cases(31.6%)had the difficulty in the management of blood glucose for purchasing medicines.They also had the difficulties in adjusting blood glucose in the outpatient of endocrinology departments(31 cases,20.4%),adherence to appropriate exercise(28 cases,18.4%)and eating the balanced diet(16 cases,10.5%).When faced with medical problems,73 cases(48.0%)seek help from hospital out-patient clinics.Nearby pharmacies(78 case,51.3%)or hospital outpatient(63 cases,41.5%)were the main ways to purchase medicines for diabetic patients.133 cases(87.5%)took medicines regularly.39 cases(25.7%)and 17(11.2%)diabetic patients were affected by the COVID-19 epidemic and changed or discontinued the original treatments.There was statistically significant in the proportion of discontinuation of hypoglycemic drugs between different drug treatment regiments and subgroups with diabetes course(χ^2=13.30,P<0.01;χ^2=8.72,P<0.05).Only 16 cases(10.5%)showed that their community health service organizations had specially trained diabetic management team.Conclusions This survey suggests that the diabetic patients in Wuhan had not paid enough attention to blood glucose monitoring,and their blood glucose control standards need to be further improved.In terms of the present problems,more comprehensive blood glucose management measures need to be developed to help diabetic patients fighting against COVID-19.