Analysis of the correlation between blood glucose control in diabetic patients and sickness status of partner
LI Zhiyong1▲ WAN Xu2▲ HUANG Wei1 LING Xiaoyuan1 WU Bin2 MA Jing3
1.Pujiang Community Health Service Center in Minhang District, Shanghai 201112, China;
2.Department of Pharmacy, South Campus of Renji Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai 201112, China;
3.Department of Endocrinology, Renji Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai 200127, China
Abstract：Objective To investigate the correlation between blood glucose control of elderly patients with type 2 diabetes mellitus and their partner sickness status in Shanghai Pujiang Community and to provide reference for the scientific management of diabetes. Methods A cross-sectional epidemiological investigation was conducted on elderly patients in the community from January to March 2017, 215 patients with type 2 diabetes were randomly selected, and the patients were divided into the solitary group, the partner positive group and the partner negative group according to their living conditions and whether their partners had diabetes or not. The data of personal background information, medical history and medication, self-management behavior, physical examination and blood biochemical indicators was collected. The target rate of glycosylated hemoglobin (HbA1c) was set as ＜7.0%. The single factor variance analysis, t-test and chi-square test were used for statistical analysis. Results There were no significant differences in blood pressure, blood lipids and body mass index among the three groups (P ＞ 0.05), while the patients in the partner positive group had better control of HbA1c (P < 0.05). Compared with the solitary group, the patients in the partner positive group had more related knowledge of diabetes (P < 0.05), more exercise (P < 0.05), and better sleep quality (P < 0.05). Conclusion Blood glucose control in diabetic patients is affected by their partners′ disease, which may be related to the level of self-management behavior. To strengthen the management of chronic diseases in the community, it is necessary to pay attention to the self-management education of solitary patients and diabetic knowledge education of the patients and their partners.
李志勇1▲ 万旭2▲ 黄薇1 凌小媛1 吴斌2 麻静3. 糖尿病患者血糖控制与伴侣患病情况的相关性分析[J]. 中国医药导报, 2017, 14(36): 68-71.
LI Zhiyong1▲ WAN Xu2▲ HUANG Wei1 LING Xiaoyuan1 WU Bin2 MA Jing3. Analysis of the correlation between blood glucose control in diabetic patients and sickness status of partner. 中国医药导报, 2017, 14(36): 68-71.
[1] da Rocha Fernandes J，Ogurtsova K，Linnenkamp U，et al. IDF Diabetes Atlas estimates of 2014 global health expenditures on diabetes [J]. Diabetes Res Clin Pract，2016， 117：48-54.
[2] Seuring T，Archangelidi O，Suhrcke M. The Economic Costs of Type 2 Diabetes：A Global Systematic Review [J]. Pharmacoeconomics，2015，33（8）：811-831.
[3] 张玉榕，周梅青，陈洪芳.家庭护理干预对糖尿病患者血糖及生活质量的影响[J].国际护理学杂志，2012，31（9）：1578-1579.
[4] 张亚妮.家庭支持对糖尿病患者居家治疗依从性的影响[J].西部医学，2015，27（2）：301-303.
[5] 李巧云，王宁玫，黄莹，等.医院-社区-家庭延续护理模式对2型糖尿病患者血糖和饮食控制效果的影响[J].中华现代护理杂志，2017，23（19）：2454-2457.
[6] Leong A，Rahme E，Dasgupta K. Spousal diabetes as a diabetes risk factor：a systematic review and meta-analysis [J]. BMC Med，2014，12（1）：12.
[7] 中华医学会糖尿病学分会.中国2型糖尿病防治指南（2013年版）[J].中华内分泌代谢杂志，2014，30（10）：26-89.
[8] Ho CP，Lee TJF. The Reliability and Validity of the Chinese Version of the Eight-Item Morisky Medication Adherence Scale [J]. Value Health，2014，17（7）：A730.
[9] 王洁，莫永珍，卞茸文，等.中文版8条目Morisky用药依从性问卷在老年2型糖尿病患者中应用信效度[J].中国老年学杂志，2015，35（21）：6242-6244.
[10] 赵翠伶，王丽娟，王连英，等.不同糖化血红蛋白检测方法在临床中的应用探讨[J].中国医刊，2013，48（8）：35-36.
[11] Xu Y，Wang L，He J，et al. Prevalence and control of diabetes in Chinese adults [J]. JAMA，2013，310（9）：948-959.
[12] Norris SL，Lau J，Smith SJ，et al. Self-management education for adults with type 2 diabetes：a meta-analysis of the effect on glycemic control [J]. Diabetes Care，2002， 25（7）：1159-1171.
[13] Sun J，Lu J，Wang W，et al. Prevalence of Diabetes and Cardiometabolic Disorders in Spouses of Diabetic Individuals [J]. Am J Epidemiol，2016，184（5）：400-409.
[14] 崔丽娟，孙丽波，纪淑云，等.糖尿病教育对血糖控制及并发症发生的影响[J].实用护理杂志，2003，19（6）：57-58.
[15] 吴静.健康教育对糖尿病病人相关知识和血糖控制的影响[J].当代护士：学术版，2009，14（9）：83-85.
[16] 刘非.定期健康教育对2型糖尿病患者血糖控制情况的作用分析[J].医学信息，2015，28（42）：129.
[17] 师玉红.糖尿病患者血糖控制不良的相关因素调查分析[J].基层医学论坛，2015，19（11）：1452-1454.
[18] 罗莎，罗珊，马爱霞.运动干预对2型糖尿病患者血糖控制效果的Meta分析[J].中国药物经济学，2011，6（1）：32-42.
[19] 朱冰倩，李小妹，鱼星锋.2型糖尿病患者睡眠质量及其对血糖控制的影响[J].中华护理杂志，2014，49（9）： 1125-1129.
[20] 张毅钦，钟智强，黎泽宇，等.全科团队干预模式对社区糖尿病患者管理的影响[J].现代医院，2015，15（6）：150-152.
[21] 顾云帆.2型糖尿病患者睡眠质量及其对血糖控制的影响[J].医药前沿，2016，6（34）：129-130.
2017, Vol. 14 
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