| 老年糖尿病患者运动状况及血糖控制情况研究 |
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| 引用本文： | 袁艳华,马丽,李艳.老年糖尿病患者运动状况及血糖控制情况研究[J].华南预防医学,2022,48(11):1328-1331. |
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| 作者姓名： | 袁艳华 马丽 李艳 |
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| 作者单位： | 商丘市中心医院, 河南商丘 476000 |
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| 摘 要： | 目的 研究老年糖尿病患者运动状况及血糖控制情况。方法 以2020年1月至2021年12月商丘市某医院诊治的老年糖尿病患者为研究对象,自制调查问卷获取患者的基本资料（包括性别、年龄、文化程度、居住地、病程、糖尿病并发症和其他基础疾病）,采用老年糖尿病患者运动锻炼评估量表评估运动状况,采用血生化指标检测评估血糖控制达标情况,分析老年糖尿病患者运动状况、血糖控制达标情况及其影响因素。结果 共纳入有效研究对象1 173例,其中男645例（54.99%）,年龄60~84岁,以60~69岁为主（45.69%）,文化程度以初中及以下为主（51.66%）,居住地以农村为主（56.61%）,病程以<5年为主（65.47%）,无糖尿病并发症者占90.88%,无其他基础疾病者占79.71%。血糖控制达标389例,达标率33.16%。运动状况总分（114.39±; 20.53）分,血糖未达标患者的运动状况总分及运动知识、运动行为、专业支持维度评分均显著低于血糖达标患者（均P<0.01）。多因素Logistic回归分析结果显示,病程（OR=0.689）、糖尿病并发症（OR=0.498）、其他基础疾病（OR=0.842）是老年糖尿病患者血糖达标的影响因素。结论 老年糖尿病患者运动状况有待改善,应针对不同情况的老年糖尿病患者进行个体干预,通过宣传教育提高运动知识认知及运动意愿,改善运动行为,增强运动锻炼的社会支持和专业支持,以促进血糖达标。
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| 关 键 词： | 糖尿病 老年 运动 空腹血糖 餐后2小时血糖 糖化血红蛋白 血糖控制 |
| 收稿时间： | 2022-06-04 |
Study on exercise status and glycemic control of elderly diabetic patients |
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| YUAN Yan‐hua,MA Li,LI Yan.Study on exercise status and glycemic control of elderly diabetic patients[J].South China JOurnal of Preventive Medicine,2022,48(11):1328-1331. |
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| Authors: | YUAN Yan‐hua MA Li LI Yan |
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| Affiliation: | Shangqiu Central Hospital, Shangqiu 476000, China |
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| Abstract: | Objective To study the exercise status and glycemic control in elderly diabetic patients. Methods From January 2020 to December 2021, elderly patients with diabetes treated in a hospital in Shangqiu City were selected as the research objects, the basic information of the patients were obtained by a self‐made questionnaire. The basic information included gender, age, level of education, residence, course of disease, diabetic complications, and other underlying diseases. The exercise status was evaluated by the exercise assessment scale for elderly diabetic patients. Blood biochemical indexes were used to evaluate the compliance of glycemic control. Then, the exercise status, glycemic control and influencing factors of elderly diabetic patients were analyzed. Results A total of 1 173 subjects were included, including 645 males (54.99%), aged 60 to 84 years, mainly 60 to 69 years old (45.69%), mainly junior high school or below education level (51.66%), mainly rural residents (56.61%), the course of disease mainly less than 5 years (65.47%), 90.88% of them without diabetes complication, and 79.71% of them without other underlying diseases. The glycemic control reached the standard in 389 cases, with the rate reaching 33.16%. The total score of exercise status was (114.39±20.53). Compared with the patients who reached the glycemic standard, the total score of exercise status, exercise knowledge, exercise behavior, and professional support dimensions score of the patients who did not meet the glycemic standard were significantly lower (all P<0.01). Multivariate Logistic regression analysis showed that the course of disease (OR=0.689), complications of diabetes (OR=0.498), and other underlying diseases (OR=0.842) were the influencing factors for the compliance of glycemic control in elderly diabetes patients. Conclusions Exercise status of elderly diabetic patients needs to be improved. Individual nursing intervention should be carried out for elderly diabetic patients with different situations. Through publicity and education, the cognition of exercise knowledge and the willingness to exercise can be improved, the exercise behavior can be improved, and the social and professional support for exercise can be enhanced, so as to promote the glycemic control. |
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| Keywords: | Diabetes Elderly Exercise Fasting blood glucose 2 hours postprandial blood glucose Glycosylated hemoglobin Glycemic control |
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