摘要
目的:调查2型糖尿病患者自我血糖监测现状,并与《中国血糖监测临床应用指南》比较,分析遵循指南的要求进行监测是否会带来更佳的血糖控制。方法:采用分层整群抽样方法,选取某三级甲等医院内分泌科门诊800名2型糖尿病患者作为研究对象,使用自我血糖监测现状调查问卷进行调查。结果:遵循指南建议的频率和方案进行自我血糖监测者302例,未遵循指南监测者498例;遵循指南监测者空腹血糖、糖化血红蛋白值均好于未遵循指南监测者。其中遵循指南监测者的糖化血红蛋白[(7.58±1.96)%]与未遵循指南监测者的糖化血红蛋白[(8.19±2.41)%]相比,差异有统计学意义(t=-2.198,P=0.022)。对进行自我血糖监测者的血糖监测操作方法调查显示,患者存在消毒后未等酒精待干即采血、针刺后用力挤压采血、未对血糖仪进行校正等操作误区。结论:遵循指南的建议进行自我血糖监测者血糖控制更佳,应鼓励患者遵循指南的建议进行自我血糖监测。同时患者自我血糖监测操作方面存在一些突出问题,应进行有针对性的教育,从而使血糖监测做到科学、规范。
Objective：To investigate self-monitoring of blood glucose（SMBG） status among patients with type 2 diabetes mellitus, and to examine if patients conducting SMBG according to Chinese Blood Glucose Monitoring Guideline （the Guideline） could have better blood glucose control. Methods：In one tertiary hospital, 800 patients were recruited by stratiifed cluster sampling methods. An investigator-developed questionnaire about the status of SMGB was completed by patients. Results：302 patients followed the Guideline to conduct SMBG, and had better fasting blood glucose level and HbA1c [（7.58±1.96）%vs. （8.19±2.41）%, t=-2.198, P=0.022）], compared with the other 498 patients who did not follow the Guideline. Some problems about skills of SMBG were common among patients, such as checking-up blood sugar by ifnger stick before the alcohol was dry and without a correction of blood glucose meters. Conclusion：Patients conduct SMBG according to the Guideline could have better blood glucose control. SMBG according to the Guideline should be encouraged. Education should be emphasized on those common problems of SMBG skills, so that SMBG could be more scientiifc and standardized.
出处
《中国护理管理》
CSCD
2014年第5期545-547,共3页
Chinese Nursing Management
基金
2012年度厦门市科技计划医疗卫生项目(350Z20124056)
关键词
糖尿病
血糖
自我监测
diabetes mellitus
blood glucose
self-monitoring of blood glucose （SMBG）
