| BackgroundDiabetes has become the third most important chronic disease that threatens human health after cardiovascular disease and cancer.Its rising prevalence poses a serious threat to global health.The existing medical technology can not completely cure the disease,so the treatment goal for diabetic patients is mainly to control blood sugar and prevent complications.Blood glucose monitoring is an effective way to control blood sugar,and it is also an indispensable means to achieve blood glucose levels.Through blood glucose monitoring,diabetic patients can effectively assess the patient's condition,delay the progress of the disease,understand their own glycemic control,and help patients to confirm or rationally adjust the treatment plan in the near future.In view of the importance of blood glucose monitoring in controlling blood sugar in diabetic patients,this study analyzes the status of blood glucose monitoring in patients with diabetes,understands the status and influencing factors of the relevant indicators of blood glucose in patients,summarizes the rules,analyzes the causes and proposes relevant rationalization suggestions,significance.PurposesThrough the investigation of blood glucose monitoring methods of diabetes patients under the community management,the frequency of blood glucose monitoring and the factors affecting the selection of different monitoring institutions,pay attention to the characteristics of key populations,analyze the relevant factors affecting patients'blood glucose monitoring,and understand the existing diabetes community management mode.Whether it can achieve the purpose of rational and effective control of blood sugar,standardize the management of diabetes community,provide reference for improving diabetes community management and control strategies,and provide evidence for further intervention projects.MethodsThe main source of this research data is the Shandong Province Diabetes Community Prevention and Control Pipeline Integration Pilot Project.According to the development level and geographical location of per capita GDP in various regions of Shandong Province and the actual development of the basic public health service chronic disease management work,the Laoshan District of Qingdao City was determined.Jiaozhou City;Weicheng District and Zhucheng City of Weifang City;Peony District and Shan County of Heze City;8 sample areas of Zhangqiu District and Pingyin County of Jinan City.3 towns(streets)were randomly selected from each county(district),and 3 communities(villages)were randomly selected from each township(street).A total of 72 villages(communities)were selected,and each village(community)randomly selected patients.35 people,a total of 2,520 people.The survey was conducted in a centralized investigation style.The investigators conducted a one-on-one,face-to-face questionnaire survey and used fasting venous blood to obtain information on the patient's blood glucose level.This study used Epidata to build a database.The basic statistical analysis and statistical table storage,sorting and production were completed in Excel2013 and Statal4.0.The composition of the patient population,the comparison of the blood glucose monitoring compliance rate and the production of statistical charts were all completed in Excel2013.Different data information was obtained by chi-square test and logistic multi-factor analysis to evaluate the specific results of patient behavior.Results(1)The main blood glucose monitoring behavior of diabetic patients under community management is institutional blood glucose monitoring and both methods.There were 1,528(70.54%)patients who underwent blood glucose monitoring,and 523(24.15%)were monitored in both ways.The study also found that 79(3.65%)did not perform any form of blood glucose monitoring in the past year,and only 36(1.66%)performed self-glycemia monitoring.(2)For patients with self-glycemic monitoring,the compliance rate of blood glucose monitoring frequency was 83.33%;the patient-tested patients had the highest rate of blood glucose monitoring,which was 89.27%;patients with both methods measured the blood glucose monitoring frequency.The rate was 78.20%;the frequency of monitoring without blood glucose monitoring was not analyzed.The rate of compliance with the overall blood glucose monitoring frequency of the patients surveyed was low,at 27.14%.(3)Of the 2166 diabetic patients surveyed,926 were eligible for glycemic control,and the overall blood glucose pass rate was 42.75%.Patients who did not undergo blood glucose monitoring had the highest blood glucose control rate,reaching 53.16%;the patient control rate of the two methods was the lowest,only 32.70%;the blood.glucose pass rate of self-glycemic monitoring and institutional blood glucose monitoring was second,and qualified.The rates are not much different,41.67%and 45.83%respectively.(4)The main factors influencing patients' blood glucose monitoring in selecting different medical institutions are education level and per capita income level.The common factor affecting the choice of different medical institutions for urban and rural patients is the degree of education of patients.The higher the level of education,the more likely patients are to monitor blood glucose at higher-level medical institutions;the main factor affecting rural patients' choice of different medical institutions is Households with per capita income and higher incomes are more likely to go to higher-level medical institutions for blood glucose monitoring.(5)Influencing factors affecting patients' glycemic control were age,family per capita income and blood glucose monitoring behavior.Patients in the high age group,patients with higher per capita income,and patients with both methods were more likely to have higher blood glucose.Patients should be improved in their glycemic control by intervening in key populations,strengthening medical subsidies,and improving adjustment and monitoring behavior.Conclusion and suggestionsThrough the investigation of the status of blood glucose monitoring in patients in the sample area,to understand the blood glucose monitoring methods,the frequency of blood glucose monitoring and the influencing factors,it is found that the implementation of blood glucose monitoring in diabetes patients under the current community management has achieved certain results,but the blood sugar control of urban and rural diabetic patients in Shandong Province The overall effect is not good,some patients still have high blood sugar levels;the patient's blood glucose control rate is low,and the standard compliance is poor;the compliance rate of different blood glucose monitoring behavior is better,but the overall blood glucose monitoring compliance rate is lower.In view of the above problems,it is recommended to increase the knowledge of blood glucose monitoring in urban and rural diabetic patients,improve the awareness of blood glucose monitoring,and conduct key interventions for patients who are not monitored,including publicity lectures,doctor guidance,family supervision,and reduce the burden of medical expenses for patients.And other methods,from the perspective of patients and service providers to intervene.Improve the community management based on primary medical services,take blood sugar monitoring as the entry point,supervise and guide diabetes patients in various ways,so that patients can get the medical and health services required by patients at the grassroots level,realize the service of patients and lower blood sugar,aims.It is recommended that the government adjust relevant policies to include blood glucose test strips in the scope of medical insurance reimbursement,to help community diabetes patients better monitor and control blood sugar levels,and to a certain extent,to save medical expenses. |
PDF Full Text Request