2型糖尿病患者治疗过程中的临床惰性及其影响因素

Clinical inertia and its influencing factors in treatment of patients with type 2 diabetes mellitus

2型糖尿病相关的临床惰性是指血糖控制不达标情况下未能及时开始治疗或调整治疗方案,是糖尿病管理过程中普遍存在的一个问题。临床惰性问题已成为2型糖尿病患者血糖长期控制不达标的主要原因之一,可导致糖尿病相关的并发症发生风险增加,并带来沉重的社会和经济负担。糖尿病治疗的各个阶段以及治疗过程中涉及的临床医师、护理人员、患者自身、医疗体系以及社会环境等均可成为影响临床惰性的因素。采取有效措施克服糖尿病相关的临床惰性是改善患者长期预后的重要一环,对提升患者的治疗依从性、血糖整体达标率以及预防糖尿病并发症的发生、发展等均具有重要意义,这需要多方共同做出努力。

Type 2 diabetes mellitus(T2DM)related clinical inertia refers to the failure to start treatment or adjust the treatment plan in time when blood glucose control is not up to standard,which has become a common problem in the management of diabetes.Clinical inertia now is the main cause for long-term poor of blood glucose control in T2DM,and leads to an increased risk of diabetes-related complications,and can bring heavy social and economic burdens.The various stages of diabetes treatment and the clinicians,nursing staff,patients themselves,medical system and social environment involved in the treatment process can all become factors that affect clinical inertia.Taking effective measures to overcome diabetes-related clinical inertia is an important part of improving the long-term prognosis of patients.It is of great significance to improve patients treatment compliance,the overall rate of reaching the standard of blood glucose,and prevent the occurrence and development of diabetes complications.This requires the joint efforts of many parties.