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目的 :了解社区糖尿病患者遵医行为Hb A1c达标情况,分析其影响因素,为进一步改善社区2型糖尿病的控制效果、制定合理的治疗方案提供理论依据。方法 :通过分层随机抽样选取116名糖尿病患者,采用上门入户调查和访谈形式收集信息,参照2010年《中国2型糖尿病防治指南》推荐标准,评价其HbA1c的控制水平。结果 :完全遵照医嘱服用、规律监测血糖和定时定量饮食的糖尿病患者,HbA1c达标率均高于遵医行为较低的患者。结论 :糖尿病患者的遵医行为不理想,HbA1c达标率低,应加强社区糖尿病患者的健康宣传教育,提高糖尿病患者遵医行为,控制血糖水平。
OBJECTIVE: To understand the compliance of Hb A1c in community-based diabetes patients and to analyze the influencing factors, so as to provide theoretical basis for further improving the control effect of type 2 diabetes in community and formulating a reasonable treatment plan. Methods: One hundred and sixteen patients with diabetes mellitus were selected by stratified random sampling. The data were collected by home-visit survey and interview. The control level of HbA1c was evaluated with reference to the 2010 China Type 2 Diabetes Prevention and Treatment Guidelines recommendations. Results: The compliance rates of HbA1c in patients with diabetes who were observed and prescribed regular blood glucose and timed regular diet were all higher than those with lower compliance rate. Conclusion: The compliance of patients with diabetes is not satisfactory and the HbA1c compliance rate is low. Health publicity and education of community diabetes patients should be strengthened so as to improve compliance of patients with diabetes and control blood sugar level.