中国深圳糖尿病患者社区管理血糖控制评估。

IF 3 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Journal of Diabetes Pub Date : 2024-06-26 DOI:10.1111/1753-0407.13573
Lihua Fang, Qingxian Li, Jie Ning
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引用次数: 0

摘要

在中国,社区卫生管理对广大慢性糖尿病患者至关重要,直接影响着他们的健康状况。尽管血糖控制对预防糖尿病并发症非常重要,但许多社区卫生服务中心尚未实施有效的管理方案。本研究对深圳市松园社区卫生服务中心管理的359名2型糖尿病患者进行了跟踪调查。本研究对深圳市松园社区卫生服务中心管理的 359 名 2 型糖尿病患者进行了为期 6 个月的随访调查,收集了他们的用药、血糖监测、糖化血红蛋白、体重指数、饮食和运动习惯等数据。研究发现,62.70% 的患者血糖控制达标。研究发现,62.70% 的患者血糖控制达标。单变量卡方分析表明,标准化管理、病程和记录保存时间与血糖达标率显著相关。如图 1 所示,在对病程、记录保存时间、磺脲类药物治疗和适量运动进行调整后,多变量逻辑回归分析显示,标准化管理、药物选择、饮食模式和二甲双胍剂量与血糖控制显著相关。该研究还强调了个体化治疗策略的必要性,尤其是二甲双胍的用量,以实现更好的血糖管理。社区健康教育和个性化策略可有效改善糖尿病患者的血糖控制。本研究对深圳社区糖尿病患者血糖达标率低的问题提出了新的见解,认为规范管理、合理饮食和合理用药是影响血糖控制的主要因素。研究强调了社区健康管理中心在慢性病管理中的关键作用,以及对改善糖尿病管理实践进行干预的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Assessment of community-managed blood glucose control in patients with diabetes mellitus in Shenzhen, China

Diabetes mellitus, predominantly type 2, is a growing epidemic with nearly 90% of the cases reported worldwide.1 In China, community health management is pivotal for the vast number of chronic diabetes patients, directly influencing their health outcomes. Despite the importance of blood glucose control in preventing diabetes complications, many community health service centers have yet to implement effective management programs.

This study conducted a follow-up investigation on 359 patients with type 2 diabetes managed by the Songyuan Community Health Center in Shenzhen. Data on medication, blood glucose monitoring, glycated hemoglobin, body mass index, diet, and exercise habits were collected over 6 months. Standardized management was defined by the establishment of health records and quarterly interviews, with follow-up visits and an annual physical examination.

The study found that 62.70% of patients met the standard for blood glucose control. Univariate Chi-square analysis identified standardized management, disease duration, and record-keeping duration as significantly associated with blood glucose compliance rates. Multivariate logistic regression analysis, after adjusting for disease duration, record-keeping duration, sulfonylurea therapy, and moderate exercise, revealed standardized management, medication selection, dietary patterns, and metformin dosage as significantly correlated with blood glucose control as shown in Figure 1.

The findings emphasize the importance of standardized management, sensible diet, and reasonable medication in improving blood glucose control among community diabetic patients. The study also highlights the need for individualized treatment strategies, particularly with metformin dosage, to achieve better glycemic management. Community health education and personalized strategies can effectively improve blood glucose control among diabetic patients. The role of standardized file management in patient management is introduced, emphasizing the need for community management systems to improve patients' blood glucose compliance rates.

This study presents novel insights into the low blood glucose compliance rate among community diabetic patients in Shenzhen, identifying standardized management, sensible diet, and reasonable medication as the primary factors influencing blood glucose control. It underscores the critical role of community health management centers in chronic disease management and the need for interventions targeting the improvement of diabetes management practices.

The authors have no financial or proprietary interests in any material discussed in this article.

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来源期刊
Journal of Diabetes
Journal of Diabetes ENDOCRINOLOGY & METABOLISM-
CiteScore
6.50
自引率
2.20%
发文量
94
审稿时长
>12 weeks
期刊介绍: Journal of Diabetes (JDB) devotes itself to diabetes research, therapeutics, and education. It aims to involve researchers and practitioners in a dialogue between East and West via all aspects of epidemiology, etiology, pathogenesis, management, complications and prevention of diabetes, including the molecular, biochemical, and physiological aspects of diabetes. The Editorial team is international with a unique mix of Asian and Western participation. The Editors welcome submissions in form of original research articles, images, novel case reports and correspondence, and will solicit reviews, point-counterpoint, commentaries, editorials, news highlights, and educational content.
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