Objective To investigate the motivation of patients with type 2 diabetes mellitus ( T2DM) and the relationship between the motivation and HbA1c, sleep quality and quality of life, and to analyze the influencing factors. Methods Multi-stage randomized cluster sampling was used in the survey and a total of 944 T2DM patients were selected. A self-designed questionnaire, patients activation measure (PAM), self-rating depression scale (SDS), Pittsburgh sleep quality index (PSQI) and diabetes specific quality of life(DSQL) were adopted. Results There were 45. 8% patients at first level, 22. 1% patients at second level, 26. 7%patients at third level and 5. 4% patients at forth level. The patients′activity level was relative with the HbA1c control, PSQI scores, DSQL scores and SDS scores. Regression equation showed that education level, complications, depression, comorbidities and family income were the influencing factors. Conclusions The overall level of patients′ activation is low in Xuzhou. The improvement of patients′ activation may help to enhance the control rate of HbA1c, sleep quality, quality of life and psychological health.

Objective To observe the relationship between alcohol dependence and new detected hypertension in adult residents of Xuzhou city.Methods Participants were sampled by stratified multi-stage randomly cluster sampling method from February 2013 to June 2013 among permanent resideuts aged 18 and more in Xuzhou city.The alcohol dependence was defined with Michigan Alcoholism Screening Test (MAST).Other information was obtained by questionnaire.Spearman correlation analysis and multivariate logistic regression analysis were performed to identify the relationship between alcohol dependence aud new detected hypertension.Results The alcohol dependence rate was 11.56％ on the whole cohort (n =36 157),and 22.02％ (3 854/17 501) for male and 1.74％ (324/18 656) for female(P ＜0.01).The new detected hypertension rate was 9.46％ (3 422/36 157) in the whole cohort.The new detected hypertension rate increased in proportion with the severity of alcohol dependence (P ＜ 0.01).Spearman correlation analysis showed that alcohol dependence was positively correlated with systemic blood pressure(r =0.071,P ＜0.01) and diastolic blood pressure (r =0.077,P ＜ 0.01).After adjusting for gender,age,marital status,body mass index,smoking status,physical activity level,educational level,income level and region,multivariate logistic regression analysis showed that alcohol dependence was an independent risk factor for hypertension (low alcohol dependence:OR =1.44,95％ CI 1.14-1.81,P ＜ 0.01;light alcohol dependence:OR =1.35,95％CI 1.11-1.64,P ＜0.01;medium alcohol dependence:OR =1.83,95％ CI I.40-2.41,P＜ 0.01).Conclusions The alcohol dependence is an independent risk factor for new detected hypertension in adult residents of Xuzhou city.Intensive hypertension prevention and treatment strategies shoull be performed on this population based on our results.