2型糖尿病患者血糖监测自我管理的调查分析

目的 了解2型糖尿病患者自我血糖监测情况及其影响因素,为糖尿病健康教育工作提供参考依据.方法 随机选择在本院就诊的336例2型糖尿病患者,对其糖尿病有关知识、健康信念和血糖监测情况等进行问卷调查.采用Logistic回归法分析患者家庭血糖监测的影响因素.结果 本次调查中能按要求进行家庭监测血糖者占60.7%.患者的血糖自我监测水平与其血糖监测等技能掌握得分、健康信念呈正相关（P＜0.01）.城市患者的家庭监测状况优于乡镇患者（P＜0.05）.结论 应强化患者血糖监测的意识,提高其自测血糖技能;扩大教育途径范围,重视对乡镇患者进行教育引导.

Survey and analysis of glucose monitoring and self-management in type 2 diabetes

Objective To study the status of self-monitoring and influencing factors of blood glucose in type 2 diabetes, to provide reference for health education of diabetes. Methods 336 patients with type 2 diabetes in our hospital were randomly selected, diabetes knowledge, health belief and glucose monitoring were investigated through the questionnaire. Logistic regression method was used for statistical analysis for the impact factors of the home blood glucose monitoring. Results Those cases who had implemented home blood glucose monitoring was 60. 7%. There were positive correlation between the level of blood glucose self-monitoring and scores of glucose monitoring skills, health beliefs （ P 〈 0. 01 ）. The home blood glucose monitoring status were better in urban patients than country ones （P 〈 0. 05）. Conclusion Awareness of blood glucose monitoring should be strength- ened, improve the skills of blood glucose self - monitoring, increase the means of education, emphasis on education and guidance of county patients.