社区管理的2型糖尿病患者HbA1c达标率及其相关因素

秦卫; 张胜冰

doi:10.19428/j.cnki.sjpm.2018.18640

社区管理的2型糖尿病患者HbA1c达标率及其相关因素

秦卫,
张胜冰

Glycosylated hemoglobin A1c control and its influence factors in type 2 diabetes mellitus managed communites

摘要

摘要:
目的了解上海市浦东新区社区管理2型糖尿病患者的糖化血红蛋白(HbA1c)的达标情况，初步探讨影响HbA1c达标的相关因素。
方法分层随机选取浦东新区8家社区卫生服务中心管理的2型糖尿病患者400例进行问卷调查，根据《中国2型糖尿病防治指南》的控制目标HbA1c < 7.0%为标准，将被调查者分为达标组和未达标组，采用多因素logistic回归分析影响HbA1c达标的相关因素。
结果共回收有效问卷387份，HbA1c达标患者93例，达标率为24.03%；经多因素logistic分析，居住地、病程、饮食、HbA1c监测和腰臀比(WHR)是影响HbA1c达标的独立相关因素。
结论浦东新区社区管理的2型糖尿病患者HbA1c达标率较低，影响浦东新区2型糖尿病患者HbA1c达标的可能因素有居住地、病程、饮食、HbA1c监测和WHR。

Abstract:
ObjectiveTo investigate glycosylated hemoglobin A1c(HbA1c) control and preliminarily discuss its influence factors in type 2 diabetes mellitus managed by communities of Pudong New Area.
MethodsA total of 400 cases of type 2 diabetes stratified and randomly selected from 8 community health service centers in Pudong New Area were investigated.According to China′s Type 2 Diabetes Prevention and Control Guidelines′ control target HbA1c < 7.0%, the cases were divided into the compliance group and non-compliance group.Multivariate logistic regression analysis was used to explore the influence factors affecting HbA1c compliance.
ResultsA total of 387 valid questionnaires were collected, and percentage of patients achieving target goals were 24.03% for HbA1c(< 7.0%).Multivariate logistic regression analysis showed that residence, disease course, diet, HbA1c monitoring and waist-to-hip ratio (WHR) were independent factors affecting HbA1c compliance.
ConclusionThe HbA1c compliance rate is lower in community management of type 2 diabetes in Pudong New Area, however, possible factors affecting HbA1c compliance in patients with type 2 diabetes include residence, disease course, diet, HbA1c monitoring and WHR.

HTML全文

参考文献(16)

施引文献

资源附件(0)