南宁市社区慢病管理2型糖尿病患者自我血糖监测依从性及慢性并发症发生情况调查

doi:10.12183/j.scjpm.2023.0402

华南预防医学 ›› 2023, Vol. 49 ›› Issue (4): 402-406.doi: 10.12183/j.scjpm.2023.0402

南宁市社区慢病管理2型糖尿病患者自我血糖监测依从性及慢性并发症发生情况调查

吴杨玲¹, 苏志², 韦志琼³, 赵向飞⁴, 官江⁴

1.广西国际壮医医院,广西南宁 530201;
2.南宁市西乡塘区衡阳南铁社区卫生服务中心;
3.南宁市青秀区南湖社区卫生服务中心;
4.南宁市兴宁区高峰林场社区卫生服务站

收稿日期:2022-06-08 出版日期:2023-04-20 发布日期:2023-07-06
通讯作者: 苏志,E‐mail：759211558@qq.com
作者简介:吴杨玲（1980—）,女,大学本科,主治医师,主要从事慢病管理方面研究

Compliance of self‐blood glucose monitoring and chronic complications of T2DM patients under community chronic disease management in Nanning

WU Yangling¹, SU Zhi², WEI Zhiqiong³, ZHAO Xiangfei⁴, GUAN Jiang⁴

1. Guangxi International Zhuang Medicine Hospital, Nanning 530201, China;
2. Hengyang South Railway Community Health Service Center, Xixiangtang District, Nanning City;
3. Nanhu Community Health Service Center, Qingxiu District, Nanning City;
4. Gaofeng Forest Farm Community Health Service Station, Xingning District, Nanning City

Received:2022-06-08 Online:2023-04-20 Published:2023-07-06

摘要/Abstract

摘要： 目的调查分析南宁市社区慢病管理2型糖尿病患者自我血糖监测依从性及慢性并发症发生情况。方法选取2019年以前在本地区社区卫生服务机构建立电子健康档案的2型糖尿病患者1 000例,以上病例均在建立电子健康档案后开始行社区慢病管理。评估其自我血糖监测依从性、慢性并发症发生情况,并分析二者关系。分析影响社区慢病管理2型糖尿病患者自我血糖监测依从性与慢性并发症发生情况的因素。结果社区慢病管理1 000例2型糖尿病患者中,456例自我血糖监测依从性差（45.60%）,544例自我血糖监测依从性好（54.40%）;444例发生慢性并发症（44.40%）,以糖尿病神经病变、糖尿病视网膜病变、糖尿病肾病为主。多因素分析结果显示,病程≥10年（OR=4.165）、文化程度小学及以下（OR=3.591）、家庭月收入<5 000元（OR=3.522）是影响南宁市社区慢病管理2型糖尿病患者自我血糖监测依从性差的危险因素。年龄60~78岁（OR=5.586）、病程≥10年（OR=5.511）、合并慢性疾病（OR=4.238）、BMI≥24.0 kg/m²（OR=4.585）、自我血糖监测依从性差（OR=1.225）是影响南宁市社区慢病管理2型糖尿病患者慢性并发症发生的危险因素。结论社区慢病管理2型糖尿病患者仍存在自我血糖监测依从性差情况,具有一定的慢性并发症发生风险,其自我血糖监测依从性与慢性并发症发生有关。

关键词: 社区慢病管理, 2型糖尿病, 血糖监测依从性, 慢性并发症

Abstract: Objective To investigate and analyze the compliance of self‐blood glucose monitoring and chronic complications of type 2 diabetes mellitus （T2DM） patients under community chronic disease management in Nanning. Methods A total of 1 000 T2DM patients who had established electronic health records in local community health service institutions before 2019 were selected. All of the above cases began to implement community chronic disease management after the establishment of electronic health records. The compliance of self‐blood glucose monitoring and the occurrence of chronic complications were evaluated, and the relationship between them was analyzed. The factors that affect the compliance of self‐blood glucose monitoring and the occurrence of chronic complications in T2DM patients under community chronic disease management were analyzed. Results Among 1 000 T2DM patients under community chronic disease management, 456 patients had poor compliance with self‐blood glucose monitoring （45.60%）, and 544 patients had good compliance with self‐blood glucose monitoring （54.40%）; Chronic complications occurred in 444 cases （44.40%）, mainly including diabetes neuropathy, diabetes retinopathy, and diabetes nephropathy. The results of multivariate analysis showed that the duration of disease ≥ 10 years （OR=4.165）, education level of primary school and below （OR=3.591）, and family monthly income<5 000 yuan （OR=3.522） were risk factors for poor compliance of self blood glucose monitoring of type 2 diabetes patients in community chronic disease management in Nanning. Age 60~78 years old （OR=5.586）, course of disease ≥ 10 years （OR=5.511）, combined chronic disease （OR=4.238）, BMI ≥ 24.0 kg/m² （OR=4.585）, poor self blood glucose monitoring compliance （OR=1.225） were the risk factors affecting chronic complications of type 2 diabetes patients in community chronic disease management in Nanning. Conclusions The T2DM patients under community chronic disease management still have poor compliance of self‐blood glucose monitoring, which has a certain risk of chronic complications. Their compliance of self‐blood glucose monitoring are related to the occurrence of chronic complications.

Key words: Community chronic disease management, Type 2 diabetes mellitus, Compliance of self‐blood glucose monitoring, Chronic complication

中图分类号:

R587.1

吴杨玲, 苏志, 韦志琼, 赵向飞, 官江. 南宁市社区慢病管理2型糖尿病患者自我血糖监测依从性及慢性并发症发生情况调查[J]. 华南预防医学, 2023, 49(4): 402-406.

WU Yangling, SU Zhi, WEI Zhiqiong, ZHAO Xiangfei, GUAN Jiang. Compliance of self‐blood glucose monitoring and chronic complications of T2DM patients under community chronic disease management in Nanning[J]. South China Journal of Preventive Medicine, 2023, 49(4): 402-406.

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南宁市社区慢病管理2型糖尿病患者自我血糖监测依从性及慢性并发症发生情况调查

Compliance of self‐blood glucose monitoring and chronic complications of T2DM patients under community chronic disease management in Nanning

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