摘要
目的:分析动态血糖监测下2型糖尿病(T2DM)患者自我管理能力及相关影响因素。方法:选取2018年6月至2020年4月中山大学附属南昌医院T2DM患者143例,统计糖尿病自我管理能力量表(SDSCA)评分情况,分析动态血糖监测下T2DM患者自我管理能力现状、影响因素,分析血糖控制情况和SDSCA评分的相关性。结果:本组143例T2DM患者,SDSCA评分为(62.97±4.58)分。不同年龄、病程、月收入、文化程度和是否接受系统化健康教育、有无负性情绪、依从性情况、有无T2DM并发症是动态血糖监测下T2DM患者自我管理能力高低的影响因素(P<0.05);logistic回归分析结果显示,年龄>60岁、病程<2年、月收入<3000元、文化程度初中及以下、负性情绪、T2DM并发症是动态血糖监测下T2DM患者自我管理能力的危险因素,接受系统化健康教育、依从性良好是动态血糖监测下T2DM患者自我管理能力的保护因素(P<0.05);血糖控制良好者SDSCA评分较血糖控制较差者高(P<0.05),血糖控制情况和SDSCA评分呈正相关(r=0.694,P<0.001)。结论:动态血糖监测下T2DM患者自我管理能力整体偏低,影响因素较多,且血糖控制情况和SDSCA评分呈正相关。
Objective:To analyze the status of self-management ability of patients with type 2 diabetes mellitus(T2DM)under dynamic blood glucose monitoring.Methods:143 T2DM patients in Nanchang Hospital,Sun Yat-sen University from June 2018 to April 2020,statistical diabetes self-management ability scale(SDSCA)score,analysis of self-management ability of T2DM patients under dynamic blood glucose monitoring,analyze the correlation between blood glucose control and SDSCA score.Results:143 T2DM patients,the SDSCA score was(62.97±4.58)points.The influence factors of T2DM patients'self-management ability under dynamic blood glucose monitoring were different age,course of disease,monthly income,education level and whether to receive systematic health education,negative emotion,compliance and T2DM complications(P<0.05);logistic regression analysis showed,age>60 years old,course of disease<2 years,monthly income<3000 yuan,education level junior high school and below,negative emotion,T2DM complications are the risk factors of self-management ability of patients under dynamic blood glucose monitoring,systematic health education and good compliance were the protective factors T2DM patients'self-management ability under dynamic blood glucose monitoring(P<0.05).Those with good blood glucose control had higher SDSCA score than those with poor blood glucose control(P<0.05),there was a positive correlation(r=0.694,P<0.001).Conclusion:The self-management ability of T2DM patients under dynamic blood glucose monitoring is low,more influential factors,and there was a positive correlation between blood glucose control and SDSCA score,clinical intervention measures such as health education should be implemented accordingly,to improve self-management and blood sugar control effect.
作者
胡艺
HU Yi(Nanchang Hospital,Sun Yat-sen University,Nanchang Jiangxi 330008,China)
出处
《药品评价》
CAS
2021年第4期214-216,共3页
Drug Evaluation
关键词
糖尿病
2型
动态血糖监测
自我管理能力
影响因素
Diabetes mellitus,type 2
Dynamic blood glucose monitoring
Self-management ability
Influencing factors
