206例糖尿病患者自我管理现状调查

目的:探讨重庆地区糖尿病患者自我管理对糖尿病及并发症的控制效果。方法:借鉴美国密西根糖尿病研究和训练中心设计的糖尿病管理评定量表(DCP)、糖尿病知识测试问卷(DKT),改良简化后随机问卷调查住院糖尿病患者。结果:糖尿病患者一般管理情况较差。中青年糖尿病患者糖化血红蛋白水平较老年糖尿病患者控制差。受过糖尿病教育的糖尿病患者血糖的控制明显好于未接受过糖尿病教育的患者。门诊定期随访患者的糖化血红蛋白控制水平好于其他随访方式。糖尿病患者中合并心脑血管疾病和有烟酒不良嗜好者较多。结论:糖尿病教育对糖尿病患者自我管理能力的提高至关重要,本地区糖尿病患者对糖尿病教育的认识有待提高。

Investigation on the Situation of Self-management in 206 Diabetic Patients

OBJECTIVE： To investigate the impact of self-management of diabetic patients on diabetes mellitus and its complication in Chongqing. METHODS： Hospitalized diabetic patients were surveyed randomly using questionnaire modified and simplified from diabetes care profile（DCP）and diabetes knowledge test（DKT）designed by Diabetes Research and Training Center of Michigan University. RESULTS： Most of diabetic patients showed a low level of self-management. The self-management of young and middle aged diabetic patients was poorer than that of aged patients. The glucose control in patients who received diabetic education was superior to those without receiving diabetic education. The glucose control in patients with regular outpatient follow-up was better than patients followed up by other methods. A large number of diabetic patients combined with cardiovascular and cerebrovascular diseases got the bad habits of drinking and smoking. CONCLUSION： Diabetic education is a important method to improve the self-management of diabetic patients. The conception of diabetic patients on diabetic education in Chongqing should be improved.