| Background Diabetes is a common chronic disease.With the development of our economy,the increase of Per capita GDP,the improvement of the quality of life,the change of lifestyle and eating habits have led to the increase of prevalence of diabetes mellitus.Diabetes often causes many chronic complications just like:diabetic nephropathy,retinopathy,coronary heart disease and other chronic complications,which seriously occupy our health and economic resources.In order to improve the blood glucose control rate,there are various high-quality hypoglycemic drugs and insulin.However,the rate of blood glucose control in China,even the world is sill low.Which has an important relationship with the disease awareness and knowledge of diabetes patients.A large number of evidence-based medical evidence have showed that improving the knowledge of diabetes patients can improve the blood glucose control rate.At present,there are many cities and regions in China had already investigated the knowledge of diabetes in the area,but there is no relevant report in Youjiang District of Baise City.Objective In order to understand the awareness rate of diabetes related knowledge of diabetic patients in Youjiang District,Baise City,Guangxi Province,and clarify the key points of diabetes health education in this area,so as to provide basis for scientific prevention and treatment of diabetes.Methods In June1,2019 to December31,2019,we had chosen 235 diabetic patients who were hospitalized in the Affiliated Hospital of Youjiang Medical College for Nationalities(including Department of Endocrinology and Non Endocrinology Department)and 115 diabetic patients who were hospitalized or only outpatient service in the Baicheng Community Health Service Center and Longjing Community Health Service Center.We used the method of questionnaire survey,investigated this 350 diabetic patients about the general situation of patients,the basic situation of personal diabetes and the related knowledge of diabetes.About the results of diabetes related knowledge,we quantified it by assigning scores.The wrong and uncertain answers were scored as"0",and correctly answered as"1".There were 11questions with 11 points in total.The total score was more than or equal to 7 points,which was qualified,otherwise it was unqualified.Results1.General situation The averaged age of patients in Department of Endocrinology in Affiliated Hospital of Youjiang Medical College for Nationalities is 55.12±15.95 years,averaged age of patients in Non Endocrinology Department is 54.83±14.03 years,both of them with no statistically difference;the age of group of diabetic patients in community is59.70±9.33 years.220 males(62.86%)and 130 females(37.14%)were surveyed.The average weight(kg),height(cm)and BMI(kg/m~2)were 60.59±9.68,161.11±6.72 and 23.45±3.32,respectively.There was no significant difference between groups of Department of Endocrinology and Non Endocrinology Department,but the average age of diabetic patients in community was older than diabetes patients in the tertiary general hospital(z=-2.81,P< 0.05),while the height and course of disease were significantly lower than the latter(z=-2.08?z=-6.29,P<0.05).2.Basic situation of self diabetes There was no significant difference in the awareness rate of diabetes type,the utilization rate of insulin and hypoglycemic drugs and the control rate of blood glucose between the two groups of tertiary general hospital.In the case of Family self blood glucose monitoring,the rate of diabetic patients in Non Endocrinology Department who monitored fasting blood glucose is higher than diabetic patients in Department of Endocrinology(30.6%?15.1%,P<0.05).But,the rate of random blood glucose monitoring of diabetes patients in Department of Endocrinology is higher than the former(30.14%?6.25%,P<0.05).However,there was no difference between diabetes patients in tertiary general hospital and diabetes patients in community in the use rate of antidiabetic drugs,and there was significant statistical difference in other aspects(including the utilization rate of insulin?rate of blood glucose monitoring?rate of blood glucose control).3.Current situation of knowledge about diabetes The average score of diabetes related knowledge was 5.00±3.53,the lowest score was"0",and the highest score was"11".Only 38.0%of diabetic patients were qualified.The awareness rate of clinical manifestations of diabetes mellitus was 41.1%;the awareness rate of exercise and diet control is helped to control blood sugar was 64.6%;the awareness rate of diabetes mellitus is incurable was38.0%;the awareness rate of diabetic patients need to self-monitoring of blood glucose was62.6%;the awareness rate of continuing medication after normal blood glucose controlled was60.9%;the awareness rate of clinical manifestations of hypoglycemia was 48.0%;43.7%of the patients knew that hypoglycemic drugs and insulin would lead to hypoglycemia,and19.7%of the patients carried foods to prevent hypoglycemia.In general,there was no significant difference between diabetic patients in Department of Endocrinology and diabetic patients in Non Endocrinology Department in the awareness rate of diabetes related knowledge,but former was higher than the latter in the awareness rate of diabetes patients who know all risk factors,peripheral nerve complications and hypoglycemia clinical manifestations(P<0.05).There were significant statistical differences in the knowledge of causes,risk factors,clinical manifestations,prevention and treatment knowledge,hypoglycemia clinical manifestation between the community diabetes group and the tertiary general hospital diabetes group(P<0.01).We analysed of relevant factors,family history of diabetes,occupation,course of disease,education level are related factors influencing the awareness rate of diabetes related knowledge(P<0.01).In Logistic multivariate analysis,we found the family history of diabetes,non manual workers and education level in middle school and below were the promoting factors for the awareness rate of diabetes related knowledge.4.The rate of blood glucose control and influencing factors In this 350 diabetic patients,there were 170 diabetic patients who were monitored blood glucose,the rate was48.6%.just only 19 diabetic patients thought their blood glucose control well,accounting for5.4%of the total number of patients,accounting for 11.2%of the patients who monitored.The number of patients with general blood glucose control was 91,accounting for 26.0%of the all the patients,accounting for 53.5%of the number of patients monitored.The number of patients with poor control was 60,accounting for 17.1%of all diabetic patients,accounting for 35.3%of the patients monitored.There was no significant difference between two groups in the tertiary general hospital,but the blood glucose control rate of community diabetes group was better than the former(P<0.05).In univariate analysis,it was found that gentle,occupation,education level,smoking and regular medication were related factors of blood glucose control rate(c~2=12.09?c~2=5.12?c~2=13.79?c~2=24.68?c~2=9.28,P<0.01).In Logistic multivariate analysis,we was found that the education level was below junior middle school and irregular medication was the inhibiting factor of blood glucose control(95%CI:0.1173-0.857?0.188-0.893).The rate of blood glucose control with diabetic patients who were not smoking was much better than who smoking(OR:7.28,95%CI:3.177-16.698).conclusion In Youjiang District,Baise City,Guangxi Province,the awareness rate of diabetes related knowledge is relatively low.It is necessary to strengthen diabetes health education,especially in the self-monitoring of blood glucose in family,risk factors,complications,hypoglycemia performance and prevention knowledge.There was no significant difference in the awareness rate of diabetes related knowledge between the groups of Department of Endocrinology and Non Endocrinology Department in the Affiliated Hospital of Youjiang Medical College for Nationalities.the awareness rate of diabetes related knowledge in the community diabetic patients was significantly lower than who hospitalized in the tertiary general hospital group.The blood glucose control rate of diabetic patients with high education,non-smoking and regular medication was higher than that of patients with low education,smoking and irregular medication.Family history of diabetes mellitus,non manual workers,course of diabetes more than 5 years,education below junior middle school are the promoting factors for the awareness rate of diabetes related knowledge. |
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