四川省2型糖尿病患者自我血糖监测现状及影响因素研究_《中国循证医学杂志》

作者：

熊真真 ¹ ,  袁丽 ¹ , 叶子溦 ¹ , 倪秀梅 ¹ , 杨静 ¹ , 刘漫 ² , 张永琼 ³ , 李车琼 ⁴ , 朱瑞容 ⁵

1. 四川大学华西医院内分泌科（成都 610041）；2. 成都416医院（成都 610051）；3. 内江市第一人民医院（成都 641000）；4. 雅安市人民医院（成都 625000）；5. 成都市第三人民医院（成都 610031）;

关键词：

2型糖尿病自我血糖监测影响因素

DOI：

10.7507/1672-2531.20130049

视频：

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摘要 全文 图表 视频 参考文献 施引文献 补充材料

目的　了解四川省糖尿病患者自我血糖监测现状，分析影响自我血糖监测的因素，为采取相应措施提高2型糖尿病患者自我血糖监测水平提供依据。
方法　采用方便抽样的方法，抽取四川省7个地市州17所医院和社区卫生服务中心确诊2型糖尿病1年以上的患者410例，通过问卷调查形式调查糖尿病患者的自我血糖监测情况。
结果　410例被调查患者中，其平均每月自我监测血糖7.3次，其中268例（65.4%）每月血糖监测不足4次，94例（22.9%）为4～15次， 29例（7.1%）为16～29次， 19例（4.6%）为30次以上；仅234例（57.1%）患者最近6个月监测过糖化血红蛋白。自我监测血糖频率与空腹血糖、餐后2小时血糖和糖化血红蛋白水平呈负相关。影响血糖自我监测的主要因素有：是否进行胰岛素治疗和是否接受过关于自我血糖监测的健康教育。
结论　四川省2型糖尿病患者自我血糖监测的水平较低，有待通过进行自我血糖监测的健康教育来提高患者的血糖监测依从性。

引用本文： 熊真真,袁丽,叶子溦,倪秀梅,杨静,刘漫,张永琼,李车琼,朱瑞容. 四川省2型糖尿病患者自我血糖监测现状及影响因素研究. 中国循证医学杂志, 2013, 13(3): 281-285. doi: 10.7507/1672-2531.20130049 复制

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.	中华医学会糖尿病学分会糖尿病护理及教育学组. 中国糖尿病护理及教育指南(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.	胡鹏, 徐蓉, 杨丹. 糖尿病病人自我血糖监测现状调查. 护理学报, 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.	王爱民, 徐向进, 张玲, 等. 2型糖尿病患者家庭血糖监测频次与血糖控制水平对患者住院情况的影响. 中国糖尿病杂志, 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, 喻红玲, 梁荩忠, 等. 糖尿病教育对2型糖尿病患者血糖控制的影响. 中国循证医学杂志, 2004, 4(7): 508-511.
17.	魏花萍, 田金徽, 张玲, 等. 中国护理干预对糖尿病患者从医行为影响的Meta分析. 中国循证医学杂志, 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.	阚凯, 卢逢娣, 朱玮. 老年糖尿病病人自我血糖监测状况及相关因素分析. 上海护理, 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. 中华医学会糖尿病学分会糖尿病护理及教育学组. 中国糖尿病护理及教育指南(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. 胡鹏, 徐蓉, 杨丹. 糖尿病病人自我血糖监测现状调查. 护理学报, 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. 王爱民, 徐向进, 张玲, 等. 2型糖尿病患者家庭血糖监测频次与血糖控制水平对患者住院情况的影响. 中国糖尿病杂志, 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, 喻红玲, 梁荩忠, 等. 糖尿病教育对2型糖尿病患者血糖控制的影响. 中国循证医学杂志, 2004, 4(7): 508-511.
17. 魏花萍, 田金徽, 张玲, 等. 中国护理干预对糖尿病患者从医行为影响的Meta分析. 中国循证医学杂志, 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. 阚凯, 卢逢娣, 朱玮. 老年糖尿病病人自我血糖监测状况及相关因素分析. 上海护理, 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.

《中国循证医学杂志》

四川省2型糖尿病患者自我血糖监测现状及影响因素研究

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《中国循证医学杂志》

四川省2型糖尿病患者自我血糖监测现状及影响因素研究

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