社区2型糖尿病患者防治知识与自我管理能力调查

目的了解社区2型糖尿病患者防治知识掌握情况与自我管理能力,为糖尿病的防治工作提供参考。方法采用典型抽样方法抽取全国5个省市8个社区内的1006例2型糖尿病患者作为调查对象。采用自行设计的调查问卷,以面对面的方式对调查对象的防治知识知晓情况和自我管理现况等进行调查。不同分类特征率的比较采用χ2检验,应用logistic回归模型筛选空腹血糖知晓率和定期监测血糖的影响因素。结果 1 006例2型糖尿病患者平均年龄（65.2±10.4）岁,女性占63.42%。知晓自己目前的血糖水平的占74.75%（752/1 006）,至少1周1次定期测量血糖的占27.44%（276/1 006）,1周至1个月之间测量血糖的占54.37%（547/1 006）。非条件logistic回归分析显示,文化程度较高者、参加城镇职工医疗保险或公费医疗、参加新农村合作医疗的患者对于自身空腹血糖水平的知晓率较高,OR值分别为1.300（95%CI：1.040~1.625）、2.047（95%CI：1.340~3.127）、1.829（95%CI：1.125~2.974）;年龄较大、家庭月均收入较高、参加城镇职工医疗保险或公费医疗、参加新农村合作医疗的患者血糖监测的频率也较高,OR值分别为1.479（95%CI：1.155~1.893）、1.452（95%CI：1.026~2.055）、3.107（95%CI：1.932~4.999）、2.019（95%CI：1.215~3.353）。结论应加强对社区2型糖尿病患者的健康教育和健康促进,提高糖尿病防治知识知晓率,提高自我管理的能力。

Investigation in prevention and treatment knowledge and self-management ability among community patients with type 2 diabetes mellitus

Objective To study the awareness of prevention and treatment knowledge and self-management ability among community patients with type 2 diabetes mellitus and to provide the base for prevention and treatment of type 2 diabetes mellitus.Methods By conventional sampling method,1 006 patients with type 2 diabetes mellitus in 8 community health centers from 5provinces or municipalities in China were selected as the subjects. The investigation was performed by self-designed questionnaire and face to face manner for awareness of prevention and treatment knowledge and self-management ability. The data were analyzed statistically with χ2-test. The multi-regression logistic model was used to screen the factors of influencing the awareness rates of fasting plasma glucose and regular plasma glucose measurement. Results The average age of 1 006 subjects was（65.2±10.4） years,63.42% of subjects was females. The awareness rate of plasma glucose level was 74.75%（547/1 006）,the proportion of regular plasma glucose measurement one time a week was 27.44%（276/1 006）,the proportion of regular plasma glucose measurement at least one time a month was 54.37%（547/1 006）. The multi-regression logistic analysis indicated that the awareness rate of plasma glucose level in subjects with high education level,medical insurance for urban workers or free medical care,and the new rural cooperative medical insurance was higher（OR=1.300,95%CI： 1.040-1.625; OR=2.047,95%CI： 1.340-3.127; OR=1.829,95%CI： 1.125-2.974,respectively）; also the rate of regular plasma glucose measurement in subjects with elder,higher income,medical insurance for urban workers or free medical care and the new rural cooperative medical insurance was higher（OR=1.479,95% CI： 1.155-1.893; OR =1.452,95% CI： 1.026-2.055; OR =3.107,95% CI： 1.932-4.999; OR =2.019,95% CI： 1.215-3.353,respectively）. Conclusion The health education and promotion among community patients with type 2 diabetes mellitus should be improved for enhancing the awareness ra