摘要
目的 了解广东省惠州市纳入国家基本公共卫生服务管理的精神分裂症(SCHIZ)合并2型糖尿病(T2DM)患者现况,评价共病患者管理效果,为该人群的T2DM防治提供参考依据。方法 2020年3—5月收集辖区35岁及以上在管SCHIZ患者健康档案信息并开展问卷调查,对SCHIZ合并T2DM患者分为已管理组(纳入T2DM管理)和未管理组(未纳入T2DM管理),SCHIZ患者及T2DM共病患者的人口学特征、重点慢性病及其危险因素和T2DM共病患者血糖控制效果。结果 SCHIZ患者中T2DM的患病率为22.3%;管理组高血压患病率(χ^(2)=7.397)、T2DM患者知晓率(χ^(2)=98.694)、血糖控制率(χ^(2)=114.004)、健康知识关注度(χ^(2)=26.071)均高于未管理组,差异有统计学意义(P<0.01);口味较未管理组轻,差异有统计学意义(χ^(2)=8.018,P<0.05)。结论 惠州地区SCHIZ患者中T2DM的患病率较高,共病患者血糖管理更为困难;该地区开展国家基本公共卫生慢性病管理服务具有一定成效,但在行为改变方面效果不明显;应注重共病患者协同管理作用,有针对性地提供健康指导,促进健康行为的改变。
Objective To understand the status of schizophrenia(SCHIZ) patients complicated with type 2 diabetes mellitus(T2DM) who were enrolled in the National Basic Public Health Services Management in Huizhou city of Guangdong province, evaluate the management effect of the patients with comorbidities, and provide reference for T2DM prevention and treatment in these patients. Methods The health information of the SCHIZ patients aged 35 years and above was collected,and the questionnaire survey was carried out from March to May, 2020. The SCHIZ patients with T2DM were divided into the managed group(included in T2DM management) and the unmanaged group(not included in T2DM management). The demographic characteristics, biochemical indicators, epidemiological characteristics and the key chronic diseases of the SCHIZ patients and the T2DM comorbidities patients were surveyed, and understood the control effect of blood glucose of the T2DM comorbidities patients. Results The prevalence rate of T2DM in SCHIZ patients was 22.3%. The prevalence rate of hypertension(χ^(2)=7.397), awareness rate of T2DM(χ^(2)=98.694), control rate of blood glucose(χ^(2)=114.004) and attention degree of health knowledge(χ^(2)=26.071) were higher in the managed group than in the unmanaged group, with statistical difference(P<0.05). The taste was lighter in the managed group than in the unmanaged group with statistical difference(χ^(2)=8.018, P<0.05). Conclusions The prevalence rate of T2DM in SCHIZ patients is high in Huizhou city, and the management of blood glucose was more difficult in the comorbidities patients. The chronic disease management service of national basic public health has certain effects in this region, but the effect on behavior change is not obvious. The collaborative management of the comorbidities patients should be paid attention to. The targeted health guidance should be provided to promote the behavior change for health.
作者
陈敏敏
黄奕强
彭桂华
杨国平
邓文峰
CHEN Min-min;HUANG YI-qiang;PENG Gui-hua;YANG Guo-ping;DENG Wen-feng(Huizhou Municipal Center for Disease Control and Prevention,Huizhou,Guangdong 516003,China)
出处
《疾病预防控制通报》
2022年第1期13-17,共5页
Bulletin of Disease Control & Prevention(China)
基金
惠州市科技局科技计划(医疗卫生)项目(2019Y133)。
关键词
精神分裂症
2型糖尿病
共病
患病率
Schizophrenia
Type 2 diabetes
Comorbidity
Prevalence rate
