130例糖尿病患者对糖尿病及胰岛素相关知识的认知调查

发布时间：2018-08-09 13:00

【摘要】：目的探讨2型糖尿病(T2DM)患者对糖尿病及胰岛素的认知情况。方法对130例行胰岛素治疗的T2DM患者在住院当天针对糖尿病及胰岛素相关知识进行问卷调查,给予针对性健康教育1周再行问卷调查。结果(1)130例患者入院时糖化血红蛋白(HbA1c)、空腹血糖(FBG)和餐后2h血糖(2-hPBG)平均水平分别为(9.82±2.37)%、(7.39±2.07)mmol/L和(10.29±3.22)mmol/L,达标率分别为10.00%、53.85%和55.38%。(2)糖尿病基础知识缺乏:患者入院时对血糖控制标准和监测频率知晓率低,入院后知晓率呈增高趋势(P0.05,P0.01)。(3)胰岛素认知存在误区:与入院时已用胰岛素者比较,拟用胰岛素患者对使用胰岛素表现出更多担忧(部分P0.05);入院后两者对使用胰岛素的担忧程度均呈降低趋势(部分P0.05)。(4)病情监测意识不强:与拟用胰岛素患者入院时比较,已用胰岛素患者具有更好的病情监测意识(P0.05,P0.01);入院后两者对病情监测的认同率均呈升高趋势(部分P0.01)。(5)使用胰岛素顾虑多:主要表现在"担心成瘾""怕注射错误"等方面。结论已用或拟行胰岛素治疗的T2DM患者的血糖控制情况不容乐观,患者对糖尿病和胰岛素的认知缺乏或误区是影响起始胰岛素治疗及血糖达标的重要因素,个体化教育能有效改善此现象。
[Abstract]:Objective to investigate the cognition of diabetes mellitus and insulin in type 2 diabetes mellitus (T2DM) patients. Methods 130 T2DM patients who were treated with insulin were investigated by questionnaire on diabetes mellitus and insulin related knowledge on the day of hospitalization. Results (1) the mean levels of glycosylated hemoglobin (HbA1c), fasting blood glucose (FBG) and postprandial blood glucose (2-hPBG) at admission were (9.82 卤2.37), (7.39 卤2.07) mmol/L and (10.29 卤3.22) mmol / L, respectively. Monitoring frequency awareness rate is low, There were some misunderstandings in insulin cognition after admission (P0.05 + P0.01). (3): compared with those who had used insulin at the time of admission, The patients who intended to use insulin showed more anxiety about insulin use (P 0.05); both of them showed a decreasing trend of concern about insulin use after admission (P05 / 4). The disease monitoring consciousness of patients with insulin was not strong: compared with the patients who intended to use insulin when they were admitted to hospital, both of them showed a decrease in the degree of concern about insulin use (P0.05). The patients who had used insulin had a better sense of disease monitoring (P0.05, P0.01), and the identification rate of both of them showed an increasing trend after admission (P0.01). (5), which was mainly manifested in "worry about addiction", "fear of injection error" and so on. Conclusion the status of blood glucose control in patients with T2DM who have been or intend to be treated with insulin is not optimistic. The cognitive deficiency or misunderstanding of diabetes mellitus and insulin is an important factor affecting the initial insulin therapy and blood glucose standard. Individualized education can effectively improve this phenomenon.
【作者单位】：第二军医大学长海医院内分泌科;武警福建总队医院内三科;
【基金】：国家自然科学基金面上项目(81471038)~~
【分类号】：R587.1

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