中年糖尿病患者自我忽略现状及对糖尿病酮症的影响

Present status on self-neglect of middle-aged diabetic patients and effect on diabetic ketosis

目的调查中年糖尿病患者的自我忽略现状,分析自我忽略对糖尿病酮症的影响。方法采取调查问卷形式对185例中年糖尿病住院患者自我忽略情况进行调查,采用多因素Logistic回归分析方法分析糖尿病酮症发生的影响因素。结果185例中年糖尿病患者中,自我忽略高分组52例,占28.11%;18例符合糖尿病酮症诊断标准,其中自我忽略高分组10例,占55.56%。多因素Logistic回归分析结果显示,初诊糖尿病,嗜酒,自我忽略中忽略良好的生活习惯、忽略医疗与健康维度和自我忽略总分是中年糖尿病患者发生酮症的影响因素。结论中年糖尿病患者自我忽略程度越高,发生糖尿病酮症的可能性越大。

Objective To investigate the present status on self-neglect of middle-aged diabetic patients and analyze its effect on diabetic ketosis(DK).Method Investigate the present status on self-neglect of 185 cases of middle-aged diabetic inpatients by questionnaire.Analyze the influencing factors of DK by multivariate Logistic regression analysis.Result Among 185 cases of middle-aged diabetes,52 cases is in high score group of self-neglect,accounting for 28.11%.Among the 18 cases of DK,10 cases is in high score group of self-neglect,accounting for 55.56%.Multivariate Logistic regression analysis shows that newly diagnosed diabetes,alcoholic,D1(neglect of good living habits),D2(neglect of medical treatment and health)and D(total)are influencing factors of DK.Conclusion The risk of DK in middle-aged patients is closely related to self-neglect.The higher the degree of self-neglect,the higher the possibility of DK.