青少年糖尿病患者不同年龄自我管理相关因素分析

摘要

目的 了解和评估青少年糖尿病患者不同年龄自我管理及疾病控制状况.方法 选择2010年1月-2011年12月在上海交通大学附属第六人民医院内分泌科住院的青少年糖尿病患者60例,按年龄分为3组,以青少年糖尿病患者自我管理及疾病状况调查表为工具,评估3组不同年龄段青少年糖尿病患者自我管理及疾病控制状况,分析其中的关系及影响因素.结果 年龄19～ 22岁的患者在血糖监测、按时用药、运动疗法及饮食控制方面得分较低；且空腹血糖、餐后2h血糖值和糖化血红蛋白(HbA1c)的控制均未达标,与13～15岁和16 ～18岁组患者比较差异有统计学意义(P＜0.05).结论 青少年糖尿病患者疾病控制状况主要与糖尿病自我管理相关,随着青少年的成长,应重视对其自我管理的教育与指导,有助于减少糖尿病相关并发症的发生,提升青少年糖尿病患者的生存质量.%Objective To investigate and evaluate the self-management and disease control status in adolescents with diabetes at different ages. Methods A total of 60 adolescent patients with diabetes in the department of endocrinology of our hospital were enrolled from January 2010 to December 2011. They were divided into three groups according to age, and investigated by questionnaire to assess their self-management and disease control status. The influencing factors were analyzed. Results The patients aged 19-22 scored lower in blood glucose monitoring, medicine on time, exercise therapy, and diet control than the patients aged 13-15 and 16-18. And their fasting plasma glucose level, 2-h postprandial glucose value, and glycosylated hemoglobin (HbAlc) value were significantly higher than the other two groups (P <0.05). Conclusion The disease control status in adolescent patients with diabetes is associated with their self-management. With increasing age, the self-management education and guidance of them should be strengthened to reduce the complications and improve their life quality.