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目的:探讨不同级别医院糖尿病合并抑郁患者人口学、疾病控制及自我管理状况差异。方法:采集社区医院(78例)和三级医院(60例)糖尿病合并抑郁患者的人口学情况、疾病控制情况和自我管理情况,比较不同级别医院之间上述情况的差异。结果:2组患者在文化程度、职业类别、并发症数、胰岛素治疗、餐后2小时血糖、糖化血红蛋白、饮食控制和血糖监测等方面均存在显著差异(P<0.05)。结论:三级医院大学以上文化程度、脑力劳动为主患者的比例高于社区医院;三级医院患者自我管理和血糖控制优于社区医院。
Objective: To investigate the differences of demography, disease control and self-management in patients with diabetes mellitus and depression in different levels of hospitals. Methods: The demographic, disease control and self-management of patients with diabetes mellitus and depression in community hospital (78 cases) and tertiary hospitals (60 cases) were collected, and the differences between the above-mentioned hospitals in different levels were compared. Results: There were significant differences (P <0.05) between the two groups in terms of education level, occupational category, complications, insulin therapy, two hours postprandial blood glucose, glycosylated hemoglobin, diet control and blood glucose monitoring. Conclusions: The proportion of patients with tertiary education at university level or above is higher than that of community hospitals. Patients in tertiary hospitals have better self-management and blood glucose control than community hospitals.