頁籤選單縮合
題 名 | Factors Related to Poor Glycemic Control in Type 2 Diabetic Outpatients in a Medical Center=某醫學中心第2型糖尿病門診病人血糖控制不良的相關因素 |
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作 者 | 陳清助; 李佳霙; 陳榮興; 王子源; 張淳堆; 葉桂梅; | 書刊名 | 中臺灣醫學科學雜誌 |
卷 期 | 10:2 2005.06[民94.06] |
頁 次 | 頁90-98 |
分類號 | 415.6681 |
關鍵詞 | 臨床特徵; 因素; 血糖控制; 問卷; 第2型糖尿病; Clinical characteristic; Factor; Glycemic control; Questionnaire; Type 2 DM; |
語 文 | 英文(English) |
中文摘要 | 目的:第2型糖尿病病人的衛教是成功治療的重要部分之一,確認病人及疾病的相關特徵,可以讓醫療照顧提供者,有較好的病人節選依據,以提供所需的介入性衛教,本篇研究目的在探討第2型糖尿病病人血糖控制相關的臨床特徵。 方法:本研究以問卷方式收集2001年4月5月門診病人資料作分析,納入的條件包括年齡大於30歲,及至少在門診追蹤6個月以上。進入研究前2個月內,或進入研究後1個月內的糖化血色素值,為知期血糖控制的指標(HbA 1c-S)。在HbA1c-S之前的1年內,與HbA 1c-S間隔至少3個月以上的另一次糖化血色素值和HbA 1c-S的平均值,為長期血糖控制的指標(HbA 1c-L)。 結果:本研究共收集1081份問卷,剔除資料不全的136份問卷,最後共得到945份有效問卷。糖尿病罹病時期較久、文盲者、使用胰島素治療(單獨或與口服降血糖藥物併用)、自行監測血糖者、都是與短期血糖控制比較差的相關因素(p<0.05,R^2=12.96%)。除了這些相關的因素之外,缺乏運動也與長期血糖控制不佳相關(R^2=15.51%)。 結論:第2型糖尿病病人罹病時間較久、文盲者,需要更積極的介入性衛教。藥物的選擇,口服降血糖藥物優先於胰島素注射。 |
英文摘要 | Purpose. Educating patients with type 2 diabetes mellitus (DM) is an important part of successful treatment. Identifying disease-related characteristics of DM will enable health-care providers to better select patients for compensatory intervention. The purpose of this study was to investigate the clinical characteristics related to glycemic control in patients with type 2DM. Methods Data were collected from questionnaires administered at our out-patient clinic from April to May 2001. Patients included in this study had to be over 30 years of age and were required to undergo a minimum follow-up period of 6 months at our out-patient clinic. The glycosylated hemoglobin (HbA1c-S) value obtained from 2 months preceding the study visit to 1 month afterward was used as measurement of short-term glycemic control (HbA1c-S). The mean (HbA1c-S) value and at least one other HhA(subscript 1c) value obtained 3 months from the (HbA1c-S)-S in the year preceding the visit was used as measurement of long-term glycemic control (HbA1c-S)-L). Results. Of the 1081 questionnaires collected, 136 were eliminated because of incomplete data, resulting in a final study population of 945. long duration of DM, illiteracy, either insulin therapy alone or in combination with oral hypoglycemic agents, and self-monitoring of blood glucose were significant factors (p<0.05) related to inferior short-term glycemic control (R^2=12.96%). Significant factors related to poor long-term glycemic control included the duration of DM, illiteracy, either insulin therapy alone or in combination with oral hypoglycemic agents, self-monitoring of blood glucose, and lack of exercise (R^2=15.51%). Conclusions Type 2 diabetic patients with a long duration of DM and who are illiterate need more intensive intervention. Oral hypoglycemic agents are more appropriate than insulin. |
本系統中英文摘要資訊取自各篇刊載內容。