Survey And Analysis Of The Awareness,the Treatment And The Standard Rate Of T2DM In Health Clinic And General Clinic

Objective Survey existing circumstances of the awareness,the treatment and the standard rate of T2DM in health clinic and general clinic,compare similarities and differences of the "three rate" between the two clinics,analyse influence factors,provide basis for establishing effective diabetes management strategies in the future.Methods Adopt questionnaire to survey 100 patients separately who visit our hospital from October to November in 2009 in the two clinics,include:know basic personal information,such as name, sex, age, educational level, occupation, etc;measure blood pressure, stature, weight, waistline, hipline, etc,calculate BMI and WHR;enquire diabetes and family history, compliant behavior, drug therapy, dietary therapy, exercise therapy, diabetes self-monitoring, diabetes health education, knowledge of diabetes, psychological balance, etc, use statistic treatment to calculate the awareness and the treatment rate;collect the patients' laboratory test results nearly one month,include:glycemic index-FBG, P2hPG, HbAlc,lipid index-TC, TG, LDL-C, HDL-C, use statistic treatment to calculate the standard rate,analyse and summary similarities and differences on management strategies of T2DM in health clinic and general clinic.Results1.Basic document:The family history of T2DM patients between health care clinic group and general clinic group have no significant differences by using statistical analysis(P>0.05);age,average duration of DM,gender,education and occuption have significant differences by using statistical analysis(P<0.05).2.The standard rate of T2DM:(1)Glycemic index-The standard rates of FPG,P2hPG and HbAlc of health care clinic group are 35.71%,42.86% and 42.86%,the general clinic group are 10.53%,14.74% and 16.84%,there are significant differences between the two groups by using the wilcoxon rank sum test(P<0.05);(2)Lipid index-The standard rates of TC,TG,LDL-C and HDL-C of health care clinic group are 58.16%,58.16%,37.76% and 75.51%, the general clinic group are 30.53%,30.53%,13.68% and 40.00%, there are significant differences between the two groups by using the wilcoxon rank sum test(P<0.05);(3)Blood pressure-The standard rate of BP of health care clinic group is 35.71%, the general clinic group is 32.63%, there are no significant difference between the two groups by using the wilcoxon rank sum test(P>0.05);(4)Obesity index-The standard rates of BMI and WHR of male of health care clinic group are 58.82% and 57.35%,the female are 20.00% and 0.00%, The standard rates of BMI and WHR of male of general clinic group are 28.57% and 52.38%,the female are 3.77% and 7.55%, there are significant differences between the same gender of the two groups by using the wilcoxon rank sum test in the standard rate of BMI (P<0.05), there are no significant differences between the same gender of the two groups by using theχ2 test in the standard rate of WHR(P>0.05).3.The awareness and the treatmant rates of T2DM:(1)Compliant behavior:There are significant differences between the two groups by using theχ2 test in following medical advice to have re-examination on schedule(P< 0.05), there are significant differences between the two groups by using the wilcoxon rank sum test in the compliance of using antidiabetic drugs(P<0.05);(2)Drug therapy:There are no significant differences between the two groups by using theχ2 test in fearing of "addiction" due to refuse to use insulin(P>0.05), there are significant differences between the two groups by using theχ2 test in using of standard drug treatment, fearing of side effects due to refuse to accept the hypoglycemic drug therpy and using of others such as health care products,recipe,etc(P< 0.05);(3)Dietary therapy:There are significant differences between the two groups by using theχ2 test in the ability to adhere to diet control(P<0.05);(4)Exercise therapy:There are no significant differences between the two groups by using theχ2 test in the ability to adhere exercise(P>0.05);(5)Diabetes self-monitoring:There are no significant differences between the two groups by using theχ2 test in determining BS at home every day and determining BS when go to hospital(P> 0.05), there are significant differences between the two groups by using theχ2 test in determining BS every few days, determining BS occasionally and having condition of regular medical examination to review BS(P< 0.05);(6)Diabetes health education:There are significant differences between the two groups by using theχ2 test in having received systemic diabetes health education(P< 0.05);(7)Knowledge of diabetes:There are no significant differences between the two groups by using the wilcoxon rank sum test in being very familiar with knowledges of diabetes (P>0.05), there are significant differences between the two groups by using the wilcoxon rank sum test in understanding knowledges of diabetes generally and knowing knowledges of diabetes very little (P<0.05); there are significant differences between the two groups by using theχ2 test in clearing theirself having or not having suffered from the complications of DM and not clearing theirself having or not having suffered from the complications of DM (P<0.05); there are significant differences between the two groups by using theχ2 test in having the ability to identify the complications of DM correctly(P<0.05);(8)To maintain psychological equilibrium:There are significant differences between the two groups by using theχ2 test in doing not worry about their illnesses and willing to actively cooperate with the treatment(P<0.05);(9)Others:There are significant differences between the two groups by using theχ2 test in having regular doctors,having the ability to assume the full cost of treatment of DM and having pressure of work and(or) life(P<0.05).4.Analyse infiuence factors of the awareness,the treatment and the standard rate of T2DM patients(1)Infiuence factors of the awareness rate of T2DM patients:Infiuence factors of the awareness rate of T2DM patients include education,DM duration,not having received diabetes health education,have confirmed by stepwise logistic regression analysis;(2)Infiuence factors of the treatment rate of T2DM patients:Infiuence factors of the treatment rate of T2DM patients include education,economic pressure,out-patient category, have confirmed by stepwise logistic regression analysis;(3)Infiuence factors of the standard rate of glycemic index of T2DM patients:FPG-infiuence factors of the standard rate of FPG of T2DM patients include sex,uncontrolled hyperlipidemia, failing ordered by their doctors, a lack of knowledges of drug therapy,insulin therapy, have confirmed by stepwise logistic regression analysis;P2hPG-influence factors of the standard rate of P2hPG of T2DM patients include DM duration,having the ability to afford the cost of treatment, uncontrolled hyperlipidemia, failing ordered by their doctors,a lack of knowledges of drug therapy,insulin therapy, have confirmed by stepwise logistic regression analysis;HbA1c-infiuence factors of the standard rate of HbA1c of T2DM patients include having regular doctors, having the ability to afford the cost of treatment,having pressure of work and(or) life,having not followed up,failing ordered by their doctors,a lack of knowledges of drug therapy,insulin therapy, have confirmed by stepwise logistic regression analysis.Conclusion1.The standard rate of glycemic index(FPG, P2hPG, HbA1c), lipid index (TC, TG, LDL-C, HDL-C),obesity index (BMI, WHR)of T2DM patients in health care clinic group are higher than general clinic group, the standard rate of BP is nearly the same with general clinic group,and the awareness and the treatment rate of T2DM patients in health care clinic group are also higher than general clinic group;2.Influence factors of the awareness and the treatment rate of T2DM patients: include education, DM duration, not having received diabetes health education, economic pressure, out-patient category;3.Infiuence factors of the standard rate of FPG, P2hPG, HbAlc of T2DM patients: include sex, uncontrolled hyperlipidemia, failing ordered by their doctors, a lack of knowledges of drug therapy, insulin therapy; DM duration, having the ability to afford the cost of treatment, uncontrolled hyperlipidemia, failing ordered by their doctors, a lack of knowledges of drug therapy, insulin therapy; having regular doctors, having the ability to afford the cost of treatment, having pressure of work and(or) life, having not followed up, failing ordered by their doctors, a lack of knowledges of drug therapy, insulin therapy, out-patient category.