Vincze Gábor, Barner Jamie C, Lopez Debra
College of Pharmacy, University of Texas at Austin
Diabetes Educ. 2004 Jan-Feb;30(1):112-25. doi: 10.1177/014572170403000119.
The purpose of this study was to investigate the relationship between demographic, biological, and psychosocial characteristics of self-monitoring of blood glucose (SMBG) among people with diabetes.
A total of 933 adults with diabetes were invited to participate in the study. A self-administered survey was used to address the study objective. Adherence to SMBG was assessed by comparing the number of glucose tests performed by the patient with the number recommended by the healthcare provider. Multivariate logistic regression analysis was used to assess the relationship among the variables.
Adherence to SMBG was 52%. Approximately one third of the participants (n = 213) could be categorized as adherent to SMBG. Multivariate logistic regression analysis revealed that study participants with type 1 diabetes who experienced fewer environmental barriers (e.g., lifestyle interference, inconvenience, painfulness, and cost) were significantly more adherent to SMBG (P < .05).
Adherence to SMBG was suboptimal. The most significant factors that interfered with adherence were having type 2 diabetes and environmental barriers. Knowing the importance of these factors may assist diabetes educators and other healthcare professionals in identifying people at risk for low adherence to SMBG and potentially long-term health complications.
本研究旨在调查糖尿病患者自我血糖监测（SMBG）的人口统计学、生物学和社会心理特征之间的关系。
共邀请933名成年糖尿病患者参与本研究。采用自行填写的调查问卷来实现研究目标。通过比较患者进行的血糖检测次数与医疗服务提供者推荐的次数来评估SMBG的依从性。采用多因素逻辑回归分析来评估变量之间的关系。
SMBG的依从率为52%。约三分之一的参与者（n = 213）可被归类为SMBG依从者。多因素逻辑回归分析显示，1型糖尿病且经历较少环境障碍（如生活方式干扰、不便、疼痛和成本）的研究参与者对SMBG的依从性显著更高（P < .05）。
SMBG的依从性欠佳。干扰依从性的最显著因素是患有２型糖尿病和环境障碍。了解这些因素的重要性可能有助于糖尿病教育工作者和其他医疗专业人员识别SMBG依从性低及可能出现长期健康并发症风险的人群。
