糖尿病患者血糖监测依从性及影响因素分析

糖尿病患者血糖监测依从性及影响因素分析摘要目的：经过对糖尿病患者血糖监测依从性调查，分析其血糖监测依从性及影响因素，提出升高糖尿病患者血糖监测依从性的对策。方法：自2023年7月至2024年2月，期间采用问卷调查法，选择河北省承德市二道牌楼社区糖尿病居民作为观察对象，使用自制的糖尿病患者一般情况调查表、糖尿病自我效能量表、社会支持量表对其进行问卷调查。整理数据进行统计，分析得出糖尿病患者血糖监测依从性情况，对其影响因素进行分析。结果：对回收有效的问卷统计分析，糖尿病患者血糖监测依从性为19%。其血糖监测不依从性与患者的年龄呈正相关，与文化程度为负相关：婚姻状况为无配偶、家庭人均月收入低的患者血糖监测依从性相对较低：医保类型为自费、SBG健康教育、技术能力、自身记忆力差的患者SBG依从性差：疼痛耐受度和社会支持度越好血糖监测依从性越好。结论：糖尿病患者SBG依从性差。提出相关结论和举措，通过进一步的分析讨论糖尿病患者血糖监测依从性差的原因，探索有效的对策引导糖尿病患者提高血糖监测依从性，改普生活质量。关键词：糖尿病：血糖监测；依从性；影响因素ABSTRACTObjective:Through the investigation of diabetic patients'blood glucose monitoringcompliance,the causes and influencing factors of non-compliance were analyzed,and thecountermeasures to improve diabetic patients'blood glucose monitoring compliance wereproposed.Methods:From July 2023 to February 2024,the diabetic residents in Erdaopailou District ofChengde City,Hebei Province were selected as the research objects by convenience samplingmethod,and the self-made "General Situation Questionnaire of diabetic patients"was used toconduct a questionnaire survey.The data were collected for statistics,the compliance of diabeticpatients with blood glucose monitoring was calculated,and the influencing factors wereanalyzed.Results:According to the statistical analysis of the collected questionnaires,the complianceof diabetic patients with blood glucose monitoring was 19%.The non-adherence of bloodglucose monitoring was positively correlated with age and negatively correlated with educationlevel.The patients with marital status of no spouse and low per capita monthly family incomewere relatively low in blood glucose monitoring compliance.Patients with self-funded medicalinsurance,SMBG health education,technical ability and poor memory had poor SMBGcompliance;The better the pain tolerance and family support,the better the blood glucosemonitoring compliance.Conclusion:Diabetic patients had poor compliance with self-glucose monitoring.Relevantconclusions and countermeasures were put forward,and the causes of poor blood glucosemonitoring compliance in diabetic patients were discussed through further analysis,and effectivemethods were explored to guide diabetic patients to improve blood glucose monitoringcompliance and improve quality of life.Key words:Diabetes;Blood glucose monitoring;Compliance;Influencing factorⅡ目录第1章引言....第2章研究对象与研究方法2.1研究对象22.2研究方法.........22.2.1调查方法.....22.2.2一般资料调查问卷..22.2.3糖尿病自我效能量表22.2.4社会支持评价量表.…22.2.5统计学方法22.3诊断标准...…32.4操作性定义.......32.5SBG依从性达标标准.........…3第3章结果.43.1调查问卷的一般情况...3.2血糖监测依从性情况....第4章讨论及对策.......74.1糖尿病患者血糖监测依从性情况74.2血糖监测依从性影响因素分析..>4.2.1年龄方面分析.....74.2.2文化程度方面分析........。。。。。。。。。。。。。。。。。。。74.2.3婚姻状况方面分析.。74.2.4经济方面的分析.....。74.2.5SMBG健康教育，操作技术方面分析84.2.6自身因素方面分析......…84.2.7社会支持方面分析....……84.3提高糖尿病患者血糖监测依从性的对策....84.3.1加强血糖监测知识健康教育...84.3.2加强自身管理，降低疼痛恐惧..…94.3.3加强社会重视程度......第5章结论..……10Ⅲ参考文献….11致谢.…12附录.13附录A糖尿病患者血糖监测一般情况调查问卷13附录B糖尿病自我效能量表.....14附录C社会支持评定量表.…16IV