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目的分析社区2型糖尿病患者血糖自我管理水平及其影响因素。方法采用便利抽样法选取天津市津南区八里台镇卫生院2014年9月—2016年8月收治的2型糖尿病患者179例,采用一般情况调查表、糖尿病知识测试问卷(DKT)、糖尿病自我管理行为量表(Toobert行为量表)、2型糖尿病相关控制指标调查,并分析社区2型糖尿病患者血糖自我管理水平的影响因素。结果本社区2型糖尿病患者自我管理水平评分为(60.85±9.76)分,按维度从高到低依此为遵医嘱服药、预防及处理高低血糖、足部护理、规律锻炼、血糖监测、饮食控制。多元线性回归分析结果显示,年龄、病程、糖尿病知识评分是影响2型糖尿病患者自我管理水平的主要因素(P<0.05)。结论社区2型糖尿病患者的糖尿病知识得分较低,糖尿病自我管理水平处于中等水平,迫切需要构建社区糖尿病团队式管理模式,实现糖尿病的系统化、规范化、正规化管理。
Objective To analyze the self-management level of blood sugar and its influencing factors in community type 2 diabetic patients. Methods A total of 179 type 2 diabetic patients admitted to Balitai Town Hospital of Jinli District, Jinnan District, Tianjin from September 2014 to August 2016 were selected according to the convenience sampling method. The general questionnaire, DKT, Behavior scale (Toobert behavior scale), type 2 diabetes related control indicators survey, and analysis of community-type 2 diabetes patients with self-management level of blood sugar factors. Results The self-management level of type 2 diabetes mellitus patients in this community was (60.85 ± 9.76) points, according to the dimension from high to low so as to take medicine according to the doctor’s order to prevent and deal with hyperglycemia, foot care, regular exercise, blood glucose monitoring, diet control . Multivariate linear regression analysis showed that age, course of disease and diabetes knowledge scores were the main factors influencing the self-management of type 2 diabetic patients (P <0.05). Conclusions Community-based diabetes mellitus (T2DM) has a low score of diabetes knowledge and a moderate level of self-management of diabetes. It is urgent to build a community-based diabetic team management model to achieve a systematic, standardized and regularized management of diabetes.