织金县基层医生糖尿病防治水平与糖尿病患者自我管理现状调查及影响因素分析

Investigation and Analysis of Influencing Factors of Diabetes Prevention and Treatment Level of Primary Doctors in Zhijin County and the Status Quo of Self-Management in Diabetic Patients

摘要: 目的：以织金县基层医生和糖尿病患者为调查对象，了解织金县基层医师血糖防控专业知识的掌握情况及糖尿病患者管理情况，并对调查结果进行分析。方法：选择2021年3月~2021年6月织金县各乡镇及社区服务中心医生和该时期就诊的糖尿病患者通过统一问卷调查进行研究，并加以分析。结果：一百四十九名被调查医师中：50.3%知晓二型糖尿病治疗规范，各类降糖药品的适应症与禁忌症，85.9%的医生不能作出正确回答，41%的医生仍认为胰岛素有成瘾性。根据基层糖尿病患者有效问卷调查收集982份，发生了不同程度的并发症的病人为91.1%，而明确知道自己血糖控制目标的人数仅为36.7%，甚至还有50.8%的病人用过各种据说可治疗好糖尿病的保健品、秘方、民间偏方等，12.0%的患者失去对生活的信心。结论：织金县基层医生在糖尿病临床知识以及综合防治能力方面，仍处于相对较低的水平。急需选择系统性、针对性强以及结合基层实际的知识培训，提高基层医生糖尿病防治水平。

Abstract: Objective: To investigate the professional knowledge of blood glucose prevention and control and the management of primary doctors and diabetic patients in Zhijin County, and to analyze the in-vestigation results. Methods: From March 2021 to June 2021, doctors and patients with diabetes who were treated in township and community service centers in Zhijin County were selected and analyzed through a unified questionnaire survey. Results: Among 149 physicians surveyed, 50.3% knew the treatment norms of type 2 diabetes, and 85.9% of them could not give correct answers about the indications and contraindications of various hypoglycemic drugs. 41% of them still be-lieved that insulin was addictive. According to the effective questionnaire survey of 982 primary diabetic patients, 91.1% of the patients had complications of different degrees, while only 36.7% of the patients clearly knew their blood sugar control goals, and 50.8% of the patients even used var-ious health care products, secret recipes, folk remedies, etc., which are said to be able to treat dia-betes. 12.0% of patients lost confidence in life. Conclusion: The clinical knowledge and comprehen-sive prevention and treatment ability of primary doctors in Zhijin County are still at a relatively low level. It is urgent to select systematic, targeted and practical knowledge training to improve the level of diabetes prevention and control of grass-roots doctors.