南阳地区在管2型糖尿病患者健康管理现状调查

Health management status of type 2 diabetes mellitus patients under supervision in Nanyang

目的分析南阳地区在管2型糖尿病患者规范管理率及血糖控制达标情况。方法2021年6—12月在南阳市辖区内社区服务中心采用方便抽样法招募登记在册的2型糖尿病患者作为研究对象,对患者进行问卷调查,并收集患者在社区服务中心的管理情况,采用描述性分析方法对结果进行分析,并采用单、多因素分析方法对2型糖尿病患者健康管理影响因素进行分析。结果共获得1796例2型糖尿病患者,有效研究对象1643例,有效率91.48%。其中男性852例,女性791例。年龄35~78岁,以55~64岁所占比例较高,为33.35%;BMI以18.5~23.9 kg/m2为主,占57.33%;病程以5~10年为主,占48.20%。规范管理810例,规范管理率49.30%,血糖控制达标839例,血糖控制达标率51.07%;规范管理者血糖控制达标率显著高于未规范管理者(P<0.01)。多因素Logistic回归分析结果显示,年龄(OR=3.672)、病程(OR=0.463)、糖尿病痛苦(OR=0.244)、糖尿病管理自我效能(OR=3.543)、社会支持度(OR=2.161)是2型糖尿病患者规范管理的影响因素。结论南阳地区在管2型糖尿病患者规范管理率未及一半,规范管理的2型糖尿病患者血糖控制达标率更高,可针对在管2型糖尿病规范管理的影响因素采取有效干预措施,提高规范管理率,促进患者血糖控制达标。

Objective To analyze the standardized management rate and compliance of blood glucose control in patients with type 2 diabetes mellitus(T2DM)under supervision in Nanyang.Methods From June to December 2021,T2DM patients registered in community service centers in Nanyang City were recruited by the convenient sampling method.A questionnaire survey was conducted on the patients,and the management of the patients in the community service centers was collected.The descriptive analysis method was used to analyze the results,and univariate and multivariate analysis methods were used to analyze the influencing factors of health management in T2DM patients.Results A total of 1796 T2DM patients were enrolled,and 1643 subjects were effective,with an effective rate of 91.48%.There were 852 males and 791 females.The age ranged from 35 to 78 years old,with a high proportion of 55 to 64 years old(33.35%).The body mass index(BMI)was mainly 18.5-23.9 kg/m2,accounting for 57.33%.The disease duration was mainly 5 to 10 years,accounting for 48.20%.There were 810 cases that were managed in a standardized way,the standardized management rate was 49.30%,839 cases reached the standard of blood glucose control,and the compliance rate was 51.07%.The compliance rate of blood glucose control in standardized patients was significantly higher than that of non-standardized patients(P<0.01).Multivariate Logistic regression analysis showed that age(OR=3.672),course of disease(OR=0.463),diabetes distress(OR=0.244),self-efficacy of diabetes management(OR=3.543),and social support(OR=2.161)were the influencing factors of standardized management in T2DM patients.Conclusions The standardized management rate of T2DM patients under supervision in Nanyang is less than half,and the compliance rate of blood glucose control in standardized patients is higher.Effective interventions can be taken to improve the standardized management rate of T2DM and promote the blood glucose control of patients.