北京市城区糖尿病人群知信行现状及其与慢性并发症的关系

Knowledge & Attitude & Practice of Diabetic Patients in Beijing Urban Area and Its Relation to Chronic Complications

目的了解北京市城区糖尿病人群知识、态度、行为的现状及与常见慢性并发症的关系。方法从北京市慢性病示范点随机抽取 6 6 0名 2型糖尿病人。调查糖尿病知信行及并发症。结果 1糖尿病诊断标准知晓率为 11.8% ,随文化程度增高呈上升趋势。 2按医嘱服药率 6 8.1%。同时采用饮食治疗、体育锻炼和控制体重 3种辅助疗法的病人占 2 4 .2 %。每月测血糖的病人占 32 .9% ,并且随医药费用报销比例的增长而增高。3慢性并发症患病率高达 6 5 .5 %。并发症与糖尿病诊断标准知晓率、是否定期测量血糖、是否按医嘱服药和病程有关。结论 1社区糖尿病人知信行水平有待提高。 2糖尿病慢性并发症患病率高 ,与知信行密切相关。

Objective To study knowledge & attitude & practice(KAP)of diabetic patients and its relation to chronic complications.Methods 660 patients with type 2 diabetes mellitus cluster randomly selected in Beijing urban area were surveyed on their KAP and complications.Results ①Awareness rate of diagnosis standard was 11 8% and increased with educational level.②Rate of taking drug in compliance with doctor's advice was 68 1%. 24 2% of patients took dietotherapy,doing exercise and losing weight simultaneously.32 9% of patients measured their blood glucose every month and it increased with proportion of reimbursement of medicine expenses. ③Prevalence of chronic complications was 65 5% and was associated with awareness rate of diagenosis standard,rate of taking drug in compliance with doctor's advice and regular blood glucose measure.Conclusion ①KAP of the diabetic patients was at lower level and needed to be improved.②Prevalence of chronic complications of the diabetic patients was higher and associated with KAP.\;