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预防医学  2016, Vol. 28 Issue (5): 445-448,452    
  论著 本期目录 | 过刊浏览 | 高级检索 |
山区空巢老年2型糖尿病患者健康状况研究
胡志勇1, 张国成2, 曾长佑1, 潘国涛3, 刘晓红1, 张增利3
1.丽水市疾病预防控制中心,浙江丽水 323000;
2.诸城市舜王街道官庄社区卫生服务站;
3.苏州大学公共卫生学院
Astudyonthehealthstatusofemptynesterswithtype 2 diabetes livinginmountainarea
HU Zhi-yong1, ZHANG Guo-cheng2, ZENG Chang-you1, PAN Guo-tao3, Liu Xiao-hong1, ZHANG Zeng-li3
TheCenterforDiseaseControlandPreventionofLishuiCity,Lishui,Zhejiang,323000,China
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摘要 目的了解山区空巢老年2型糖尿病患者健康状况及影响因素,为社区干预提供依据。方法抽取浙江省丽水市15个街道/乡镇共30个行政村空巢老年糖尿病患者78例(空巢组),根据年龄和性别按1∶2比例抽取非空巢老年糖尿病患者156例(非空巢组),进行问卷调查、体格检查和实验室检测;分析空巢因素对老年糖尿病患者的生活方式、血生化指标和慢性病患病率等的影响。结果多因素Logistic分析显示,调整年龄因素后,空巢组肥胖率(OR=0.563,95%CI: 0.371~0.809)、甘油三酯异常率(OR=0.501,95%CI:0.310~0.795)、吃鱼/肉类≥4 d/周的比例(OR=0.579,95%CI:0.207~0.891)、血压知晓率(OR=0.598,95%CI: 0.296~0.814)和血糖知晓率(OR=0.421,95%CI: 0.302~0.799)相对较低(P<0.05);而空腹血糖异常率(OR=2.039,95%CI:1.013~3.572)、收缩压异常率(OR=1.832,95%CI: 1.351~2.983)、缺乏锻炼率(OR=1.636,95%CI: 1.432~3.356)、饮酒率(OR=3.572,95%CI: 1.547~3.002)和高盐饮食率(OR=2.984,95%CI: 1.692~3.571)相对较高(P<0.05)。结论空巢老年2型糖尿病患者血糖、血压控制情况相对较差,应积极给予个性化指导,改善空巢老年2型糖尿病患者的生活质量。
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胡志勇
张国成
曾长佑
潘国涛
刘晓红
张增利
关键词 山区空巢2型糖尿病老年人健康管理    
Abstract:ObjectiveTo learn the health status of empty nesters with diabetes in the mountains southwest of Zhejiang and to explore the influencing factors.MethodsUsing the method of stratified-random-cluster sampling, 78 empty nesters with diabetes and 156 non-empty nesters with diabetes who come from five streets and 10 towns of 30 community (or village) were selected and investigated by questionnaire and physical examination were conducted. Univariate analysis were conducted to compare the differences about lifestyle, biochemical indicators and health status between the two groups and multivariate unconditional logistic regression analysis were conducted to analyze the influencing factors.ResultsThe prevalence of hypertension of empty nest group was 70.51%, and the prevalence of hypertension of non-empty nest group was 58.97%. Fasting blood glucose level of empty nest group was 9.39±5.73 mmol/L, higher than that of the non-empty nest group(P<0.05). There was significant difference between the two groups in other indicators, such as drinking rate, high-salt diet rate, obesity rate, triglyceride levels, regular exercise rate, vegetables/fruits ≥4 days/week proportion, fish/meat ≥4 days/week, awareness of their own blood pressure and blood sugar awareness (P<0.05). After adjustment for age, the obesity rate, abnormal rate of triglycerides, fish/meat(≥4 days/week) intake, regular exercise rate, blood pressure and blood sugar awareness rate were lower among non-empty nesters with diabetes, and overweight rate, systolic blood pressure abnormal rate, fasting glucose ratio, alcohol and high salt diet were higher in empty nest group patients with diabetes.ConclusionEmpty nesters with diabetes have a relatively high proportion of lack of exercise, inadequate nutrition intake, alcohol consumption, high-salt diet and lack of health knowledge and other unhealthy factors. The community health services and individual guidance for the empty nesters should be strengthened to improve the health status of empty nesters with diabetes.
Key wordsEmpty nest    The elderly    Type 2 diabetes    Health management    Mountainous area
收稿日期: 2015-08-24      修回日期: 2015-12-20      出版日期: 2016-05-10
中图分类号:  R587.1  
基金资助:国家自然科学基金项目(81372981); 丽水市科技局公益性技术应用研究项目(2014JYZB11); 丽水市高层次人才培养资助项目(2015RC31)
通信作者: 曾长佑,E-mail:lsjkzcy@163.com   
作者简介: 胡志勇,硕士,主管医师,主要从事慢性病防制工作
引用本文:   
胡志勇, 张国成, 曾长佑, 潘国涛, 刘晓红, 张增利. 山区空巢老年2型糖尿病患者健康状况研究[J]. 预防医学, 2016, 28(5): 445-448,452.
HU Zhi-yong, ZHANG Guo-cheng, ZENG Chang-you, PAN Guo-tao, Liu Xiao-hong, ZHANG Zeng-li. Astudyonthehealthstatusofemptynesterswithtype 2 diabetes livinginmountainarea. Preventive Medicine, 2016, 28(5): 445-448,452.
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http://www.zjyfyxzz.com/CN/      或      http://www.zjyfyxzz.com/CN/Y2016/V28/I5/445
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