干预2型糖尿病患者血糖控制因素的描述性研究

Ankita, L. Ranganayki, Kaur Kiranpreet
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摘要

目的:本研究旨在评估影响血糖控制良好和不良的因素。导言:近年来印度糖尿病患病率呈上升趋势,受社会人口、临床和行为等多种因素影响,血糖控制不良和不充分是糖尿病并发症发生的主要危险因素。材料与方法:采用有目的抽样方法,对100例30岁及30岁以上、在SGRD医院就诊或住院的2型糖尿病患者进行描述性研究。数据收集方法为观察和自构式问卷访谈。通过描述性统计和推理统计进行分析和解释。结果:100例受试者血糖控制不良(61%),良好(39%)。年龄50-59岁18(29.5%)、男性36(59%)、受教育程度不高30(49.1%)、BMI超重27(44.3%)、糖尿病病程4-6年30(49.2%)、合并症如高血压38(62.3%)和肾病20(32.8%)、糖尿病饮食不当37(60.7%)和35(57.4%)、运动酒精摄入不足26(42.6%)是影响血糖控制的因素。糖尿病相关并发症为视网膜病变和肾病10例(16.4%),神经病变23例(37.7%),冠状动脉病变4例(6.6%),足部溃疡8例(13.1%),脑卒中15例(24.6%),白内障5例(8.2%),其奇比分别为3.627、7.45、48.22、6.18、12.55、18.09、3.913、1.07。结论:需要了解2型糖尿病患者的血糖控制程度,了解影响血糖控制良好组和血糖控制不良组的因素,从而发现影响血糖控制的因素
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A Descriptive study to assess the Factors interfering with Glycemic Control among Type 2 Diabetes Mellitus patients
Aim: This study is conducted to assess factors interfering with good and poor glycemic control. Introduction: There is a rising trend in the prevalence of diabetes in India over recent years, poor and inadequate glycemic control affected by many factors such as socio-demographic, clinical and behavior factors constitutes a major risk factor for the development of diabetes complications. Materials and Methods: A descriptive study was conducted using purposive sampling technique by enrolling 100 subjects with type 2 Diabetes Mellitus having 30 and above 30 years of age, attending OPD or admitted in SGRD hospital. Data collected by observation and interviewing the subjects using self-structured questionnaire. Analysis and interpretation were done by descriptive and inferential statistics. Results: It shows that total of 100 subjects 61% had poor and 39% had good glycemic control. Factors such as age 50–59 years 18 (29.5%), male 36 (59%), informal education 30 (49.1%), BMI overweight 27 (44.3%), duration of diabetes 4–6 years, 30 (49.2%), and co-morbidities such as hypertension 38 (62.3%) and renal diseases 20 (32.8%), inappropriate diabetic diet 37 (60.7%), and 35 (57.4%) inadequate exercise alcohol consumption 26 (42.6%) were factors interfering glycemic control. Complications related to diabetes were 10 (16.4%) retinopathy and nephropathy, 23 (37.7%) neuropathy, 4 (6.6%) coronary artery disease, 8 (13.1%) foot ulcer, 15 (24.6%) stroke, 5 (8.2%) cataract and their odd ratios (OR-3.627, 7.45, 48.22, 6.18, 12.55, 18.09, 3.913, and 1.07, respectively). Conclusion: There is need to achieve an understanding of the extent of glycemic control in patients with type 2 DM and to see the factors interfering with good and poor glycemic control groups, and as a result, to spot the factors affecting glycemic control
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