四川省2型糖尿病患者自我血糖监测现状及影响因素研究被引量：45

Current Situation and Influencing Factors of Self-Monitoring of Blood Glucose in Type 2 Diabetic Patients in Sichuan Province

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摘要目的了解四川省糖尿病患者自我血糖监测现状,分析影响自我血糖监测的因素,为采取相应措施提高2型糖尿病患者自我血糖监测水平提供依据。方法采用方便抽样的方法,抽取四川省7个地市州17所医院和社区卫生服务中心确诊2型糖尿病1年以上的患者410例,通过问卷调查形式调查糖尿病患者的自我血糖监测情况。结果 410例被调查患者中,其平均每月自我监测血糖7.3次,其中268例(65.4%)每月血糖监测不足4次,94例(22.9%)为4～15次,29例(7.1%)为16～29次,19例(4.6%)为30次以上;仅234例(57.1%)患者最近6个月监测过糖化血红蛋白。自我监测血糖频率与空腹血糖、餐后2小时血糖和糖化血红蛋白水平呈负相关。影响血糖自我监测的主要因素有:是否进行胰岛素治疗和是否接受过关于自我血糖监测的健康教育。结论四川省2型糖尿病患者自我血糖监测的水平较低,有待通过进行自我血糖监测的健康教育来提高患者的血糖监测依从性。 Objective To investigate the current situation of self-monitoring of blood glucose （SMBG） in patients with type 2 diabetes mellitus （T2DM） in Sichuan province, and to analyze the influencing factors of SMBG, so as to provide evidence for improving the level of SMBG. Methods By the convenience sampling method, 410 patients with T2DM for more than 1 year were selected from 17 hospitals and community health service centers in 7 cities across Sichuan province, and their SMBG was investigated with a questionnaire. Results Among 410 eligible patients, the average frequency of SMBG was 7.3 times per month. There were 268 patients （65.4%） performed SMBG less than 4 times per month, 94 （22.9%） performed 4-15 times per month, 29 （7.1%） performed 6-29 times per month, and 19 （4.6%） performed over 30 times per month.Just 234 patients （57.1%） monitored the HbAlc in the past 6 months. FPG, 2-hour PPG and HbAlc were negatively correlated with the frequency of SMBG. The influencing factors of SMBG were insulin treatment and education. Conlusion The SMBG status in D2TM patients is relatively poor in Sichuan province, and the compliance of SMBG is expected to be improved by enhancing diabetic education.

作者熊真真袁丽叶子溦倪秀梅杨静刘漫张永琼李车琼朱瑞容

机构地区四川大学华西医院内分泌科成都内江市第一人民医院雅安市人民医院成都市第三人民医院

出处《中国循证医学杂志》 CSCD 2013年第3期281-285,共5页 Chinese Journal of Evidence-based Medicine

关键词 2型糖尿病自我血糖监测影响因素 Type 2 diabetes mellitus Self-monitoring of blood glucose Influencing factor

分类号 R587.1 [医药卫生—内分泌]

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1Yang WY, Liu ]M, Wen ]P, et al. Prevalence of Diabetes among Men and Women in China. NEngl J Med, 2010, 3629(12): 1090-1011.
2Xu Y, Toobert D, Savage C. Factors Influencing Diabetes Self- Management in Chinese People With Type 2 Diabetes. Research in Nursing & Health, 2008, 31(6): 613-625.
3Alberti KG, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med, 1998, 15(7), 539-553.
4中华医学会糖尿病学分会糖尿病护理及教育学组.中国糖尿病护理及教育指南(2009版),2009.
5Franciosi M, Pellegrini F, De Berardis G, et al. The impact of blood glucose self-monitoring on metabolic control and quality of life in type 2diabetic patients: an urgent need for better educational strategies. Diabetes Care, 2001, 24(11): 1870-1877.
6Schneider B, Martin S, Heinemann L, et al. Interrelations between diabetes therapy, self-monitoring of blood glucose, blood glucose and non-fatal or fatal endpoints in patients with type 2 diabetes: Results of a longitudinal cohort study (ROSSO 5). Arzneimittel- Forschung/Drug Research, 2007, 57(12): 762-769..
7胡鹏,徐蓉,杨丹.糖尿病患者自我血糖监测现状调查[J].护理学报,2008,15(11):11-13. 被引量：55
8Murata GH, Shah JH, Hoffman RM, et al. Intensified blood glucose monitoring improves glycaemic control in stable, insulin treated veterans with Type 2 diabetes: The Diabetes outcomes in Veterans Study (DOVES). Diabetes Care, 2003, 26(6): 1759-1763.
9Santiprabhob J, Likitmaskul S, Kiattisakthavee P, et al. Glycemic control and the psychosocial benefits gained by patients with type 1 diabetes mellitus attending the diabetes camp. Patient Educ Couns, 2008, 73(1): 60-66.
10Guerci B, Drouin P, Grange V, et al. Self-monitoring of blood glucose significantly improves metabolic controlin patients with type 2 diabetes mellitus: the Auto-Surveillance Intervention Active (ASIA) study. Diabetes Metabolism, 2003, 29(6): 587-594.