四川省2型糖尿病患者自我血糖監測現狀及影響因素研究_《中國循證醫學雜志》

作者：

熊真真 ¹ ,  袁麗 ¹ , 葉子溦 ¹ , 倪秀梅 ¹ , 楊靜 ¹ , 劉漫 ² , 張永瓊 ³ , 李車瓊 ⁴ , 朱瑞容 ⁵

1. 四川大學華西醫院內分泌科（成都 610041）；2. 成都416醫院（成都 610051）；3. 內江市第一人民醫院（成都 641000）；4. 雅安市人民醫院（成都 625000）；5. 成都市第三人民醫院（成都 610031）;

關鍵詞：

2型糖尿病自我血糖監測影響因素

DOI：

10.7507/1672-2531.20130049

視頻：

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目的　了解四川省糖尿病患者自我血糖監測現狀，分析影響自我血糖監測的因素，為采取相應措施提高2型糖尿病患者自我血糖監測水平提供依據。
方法　采用方便抽樣的方法，抽取四川省7個地市州17所醫院和社區衛生服務中心確診2型糖尿病1年以上的患者410例，通過問卷調查形式調查糖尿病患者的自我血糖監測情況。
結果　410例被調查患者中，其平均每月自我監測血糖7.3次，其中268例（65.4%）每月血糖監測不足4次，94例（22.9%）為4～15次， 29例（7.1%）為16～29次， 19例（4.6%）為30次以上；僅234例（57.1%）患者最近6個月監測過糖化血紅蛋白。自我監測血糖頻率與空腹血糖、餐后2小時血糖和糖化血紅蛋白水平呈負相關。影響血糖自我監測的主要因素有：是否進行胰島素治療和是否接受過關于自我血糖監測的健康教育。
結論　四川省2型糖尿病患者自我血糖監測的水平較低，有待通過進行自我血糖監測的健康教育來提高患者的血糖監測依從性。

引用本文： 熊真真,袁麗,葉子溦,倪秀梅,楊靜,劉漫,張永瓊,李車瓊,朱瑞容. 四川省2型糖尿病患者自我血糖監測現狀及影響因素研究. 中國循證醫學雜志, 2013, 13(3): 281-285. doi: 10.7507/1672-2531.20130049 復制

1.	Yang WY, Liu JM, Wen JP, et al. Prevalence of Diabetes among Men and Women in China . N Engl J Med, 2010, 3629(12): 1090-1011.
2.	Xu Y, Toobert D, Savage C. Factors Influencing Diabetes Self-Management in Chinese People With Type 2 Diabetes. Research in Nursing & Health, 2008, 31(6): 613-625.
3.	Alberti KG, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med, 1998, 15(7), 539-553.
4.	中華醫學會糖尿病學分會糖尿病護理及教育學組. 中國糖尿病護理及教育指南(2009版), 2009.
5.	Franciosi M, Pellegrini F, De Berardis G, et al. The impact of blood glucose self-monitoring on metabolic control and quality of life in type 2diabetic patients: an urgent need for better educational strategies. Diabetes Care, 2001, 24(11): 1870-1877.
6.	Schneider B, Martin S, Heinemann L, et al. Interrelations between diabetes therapy, self-monitoring of blood glucose, blood glucose and non-fatal or fatal endpoints in patients with type 2 diabetes: Results of a longitudinal cohort study (ROSSO 5). Arzneimittel- Forschung/ Drug Research, 2007, 57(12): 762-769.
7.	胡鵬, 徐蓉, 楊丹. 糖尿病病人自我血糖監測現狀調查. 護理學報, 2008, 15(11): 11-13.
8.	Murata GH, Shah JH, Hoffman RM, et al. Intensified blood glucose monitoring improves glycaemic control in stable, insulin treated veterans with Type 2 diabetes: The Diabetes outcomes in Veterans Study (DOVES). Diabetes Care, 2003, 26(6): 1759-1763.
9.	Santiprabhob J, Likitmaskul S, Kiattisakthavee P, et al. Glycemic control and the psychosocial benefits gained by patients with type 1 diabetes mellitus attending the diabetes camp. Patient Educ Couns, 2008, 73(1): 60-66.
10.	Guerci B, Drouin P, Grange V, et al. Self-monitoring of blood glucose significantly improves metabolic controlin patients with type 2 diabetes mellitus: the Auto-Surveillance Intervention Active (ASIA) study. Diabetes Metabolism, 2003, 29(6): 587-594.
11.	Ulrich S, Markus S, Gabriele M. Meal-related structured self-monitoring of blood glucose: effect on diabetes control in non-insulin-treated type 2 diabetic patients. Diabetes care, 2002, 25(11), 1928-1931.
12.	Xu Y, Pan W, Liu H. Self-management practices of Chinese Americans with type2 diabetes. Nursing and Health Sciences, 2010, 12(2): 228-234.
13.	王愛民, 徐向進, 張玲, 等. 2型糖尿病患者家庭血糖監測頻次與血糖控制水平對患者住院情況的影響. 中國糖尿病雜志, 2012, 20(4): 274-276.
14.	Karter AJ, Parker MM, Moffet HH, et al. Longitudinal study of new andpr evalent use of self-monitoring of blood glucose. Diabetes Care, 2006, 29: 1757-1763.
15.	Pan L, Mukhtar Q, Geiss LS, et al. Self-monitoring of blood glucose among adults with diabetes-United States, 1997-2006. Morbidity and Mortality Weekly Report, 2007, 56(43): 1133-1137.
16.	王椿, 喻紅玲, 梁藎忠, 等. 糖尿病教育對2型糖尿病患者血糖控制的影響. 中國循證醫學雜志, 2004, 4(7): 508-511.
17.	魏花萍, 田金徽, 張玲, 等. 中國護理干預對糖尿病患者從醫行為影響的Meta分析. 中國循證醫學雜志, 2008, 8(5): 328-333.
18.	Norris SL, Gelgau EMM, Narayan KM. Effectiveness of self management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care, 2001, 24(3): 561-587.
19.	Aydin H, Deyneli O, Yavuz D, et al. Does the frequency of the self-monitoring of blood glucose influence glycemic control in type 2 diabetic patients? Marmara Med J, 2005, 18(1): 13-16.
20.	闞凱, 盧逢娣, 朱瑋. 老年糖尿病病人自我血糖監測狀況及相關因素分析. 上海護理, 2010, 10(2): 45-47.
21.	Karter AJ, Ferrara A, Darbinian JA, et al. Self monitoring of blood glucose: Language and financial barriers in a managed care population with diabetes. Diabetes Care, 2000, 23(4): 477-483.
22.	Adams AS, Mah C, Soumerai SB, et al. Barriers to self-monitoring of blood glucose among adults with diabetes in an HMO: A cross sectional study. BMC Health Services Research, 2003, 3(1): 6.

1. Yang WY, Liu JM, Wen JP, et al. Prevalence of Diabetes among Men and Women in China . N Engl J Med, 2010, 3629(12): 1090-1011.
2. Xu Y, Toobert D, Savage C. Factors Influencing Diabetes Self-Management in Chinese People With Type 2 Diabetes. Research in Nursing & Health, 2008, 31(6): 613-625.
3. Alberti KG, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med, 1998, 15(7), 539-553.
4. 中華醫學會糖尿病學分會糖尿病護理及教育學組. 中國糖尿病護理及教育指南(2009版), 2009.
5. Franciosi M, Pellegrini F, De Berardis G, et al. The impact of blood glucose self-monitoring on metabolic control and quality of life in type 2diabetic patients: an urgent need for better educational strategies. Diabetes Care, 2001, 24(11): 1870-1877.
6. Schneider B, Martin S, Heinemann L, et al. Interrelations between diabetes therapy, self-monitoring of blood glucose, blood glucose and non-fatal or fatal endpoints in patients with type 2 diabetes: Results of a longitudinal cohort study (ROSSO 5). Arzneimittel- Forschung/ Drug Research, 2007, 57(12): 762-769.
7. 胡鵬, 徐蓉, 楊丹. 糖尿病病人自我血糖監測現狀調查. 護理學報, 2008, 15(11): 11-13.
8. Murata GH, Shah JH, Hoffman RM, et al. Intensified blood glucose monitoring improves glycaemic control in stable, insulin treated veterans with Type 2 diabetes: The Diabetes outcomes in Veterans Study (DOVES). Diabetes Care, 2003, 26(6): 1759-1763.
9. Santiprabhob J, Likitmaskul S, Kiattisakthavee P, et al. Glycemic control and the psychosocial benefits gained by patients with type 1 diabetes mellitus attending the diabetes camp. Patient Educ Couns, 2008, 73(1): 60-66.
10. Guerci B, Drouin P, Grange V, et al. Self-monitoring of blood glucose significantly improves metabolic controlin patients with type 2 diabetes mellitus: the Auto-Surveillance Intervention Active (ASIA) study. Diabetes Metabolism, 2003, 29(6): 587-594.
11. Ulrich S, Markus S, Gabriele M. Meal-related structured self-monitoring of blood glucose: effect on diabetes control in non-insulin-treated type 2 diabetic patients. Diabetes care, 2002, 25(11), 1928-1931.
12. Xu Y, Pan W, Liu H. Self-management practices of Chinese Americans with type2 diabetes. Nursing and Health Sciences, 2010, 12(2): 228-234.
13. 王愛民, 徐向進, 張玲, 等. 2型糖尿病患者家庭血糖監測頻次與血糖控制水平對患者住院情況的影響. 中國糖尿病雜志, 2012, 20(4): 274-276.
14. Karter AJ, Parker MM, Moffet HH, et al. Longitudinal study of new andpr evalent use of self-monitoring of blood glucose. Diabetes Care, 2006, 29: 1757-1763.
15. Pan L, Mukhtar Q, Geiss LS, et al. Self-monitoring of blood glucose among adults with diabetes-United States, 1997-2006. Morbidity and Mortality Weekly Report, 2007, 56(43): 1133-1137.
16. 王椿, 喻紅玲, 梁藎忠, 等. 糖尿病教育對2型糖尿病患者血糖控制的影響. 中國循證醫學雜志, 2004, 4(7): 508-511.
17. 魏花萍, 田金徽, 張玲, 等. 中國護理干預對糖尿病患者從醫行為影響的Meta分析. 中國循證醫學雜志, 2008, 8(5): 328-333.
18. Norris SL, Gelgau EMM, Narayan KM. Effectiveness of self management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care, 2001, 24(3): 561-587.
19. Aydin H, Deyneli O, Yavuz D, et al. Does the frequency of the self-monitoring of blood glucose influence glycemic control in type 2 diabetic patients? Marmara Med J, 2005, 18(1): 13-16.
20. 闞凱, 盧逢娣, 朱瑋. 老年糖尿病病人自我血糖監測狀況及相關因素分析. 上海護理, 2010, 10(2): 45-47.
21. Karter AJ, Ferrara A, Darbinian JA, et al. Self monitoring of blood glucose: Language and financial barriers in a managed care population with diabetes. Diabetes Care, 2000, 23(4): 477-483.
22. Adams AS, Mah C, Soumerai SB, et al. Barriers to self-monitoring of blood glucose among adults with diabetes in an HMO: A cross sectional study. BMC Health Services Research, 2003, 3(1): 6.

《中國循證醫學雜志》

四川省2型糖尿病患者自我血糖監測現狀及影響因素研究

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《中國循證醫學雜志》

四川省2型糖尿病患者自我血糖監測現狀及影響因素研究

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