Hierarchical chain management model in blood glucose control and its influence factors in patients with diabetes mellitus
10.3760/cma.j.issn.1673-4904.2012.19.003
- VernacularTitle:链式分层管理模式对糖尿病患者血糖控制情况及其影响因素
- Author:
Qingge GAO
;
Yi WANG
;
Chao SHI
;
Rong CHEN
;
Changxiu LIANG
;
Yanrong LU
;
Yong ZHOU
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus,type 2;
Blood glucose self-monitoring;
Hierarchical chain management model;
Influencing factors
- From:
Chinese Journal of Postgraduates of Medicine
2012;35(19):7-10
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the hierarchical chain management model in blood glucose control and its influence factors in patients with diabetes mellitus.Methods Health management database of diabetic patients was established in 2007 and managed by hierarchical chain management.The number of the patients reached to 1010 till 2011.The blood glucose control of diabetic patients was analyzed and its influence factors were analyzed by multivariate unconditional Logistic regression method.Results The concentration of glycosylated hemoglobin( HbA1c ) of 1010 patients with type 2 diabetes was (8.21 ±:2.70)％.Four hundred and eighty-seven cases (48.22％) reached the blood glucose standard,303 cases (30.00％)reached the blood pressure standard,245 cases (24.26％) reached the blood lipids standard,and 76 cases (7.52％) reached all three standards.Multivariate analysis showed that occupation (OR =2.521,95％ CI:1.871 - 3.397),education level (OR =1.890,95％ CI:1.642 - 2.174),disease course (OR =1.035,95％CI:1.016 -1.055),systolic pressure (OR =1.016,95％ CI:1.007 -1.025) and triglyceride (OR =1.204,95％CI:1.063 - 1.365) were the risk factors of blood glucose control (P ＜0.01).Conclusions Hierarchical chain management model is helpful for the blood glucose control in patients with type 2 diabetes.The comprehensive control and treatment of type 2 diabetes should be taken combined with related risk factors,such as blood pressure,blood lipids and diabetes disease course.
