Al-Keilani Maha S, Almomani Basima A, Al-Sawalha Nour A, Shhabat Batool A
Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan.
King Abdulla University Hospital, P.O. Box 3030, Irbid 22110, Jordan.
Diabetes Res Clin Pract. 2017 Apr;126:79-85. doi: 10.1016/j.diabres.2017.01.005. Epub 2017 Jan 17.
To investigate the self-monitoring of blood glucose (SMBG) adherence among Jordanian patients with diabetes and to identify the predictive factors.
A cross-sectional survey was carried out in 18 hospitals and healthcare centers covering south, north, and middle of Jordan. All patients with diabetes attending endocrinology clinics from May to December, 2015 were approached. The questionnaires were distributed by trained pharmacists and were self-administered.
A total of 1079 participants completed the survey. Only 59% of participants were SMBG adherent. Predictors of SMBG adherence were treatment regimen; insulin with oral hypoglycemic agents (p=0.044, CI 1.023-5.274, OR=2.323) or insulin only (p=0.005, CI 1.225-3.115, OR=1.953), and health education on how to use the SMBG meter (p<0.001, CI 10.538-32.497, OR=18.506). The frequency of SMBG was significantly associated with the treatment regimen, with patients who were taking oral hypoglycemic agents (p<0.001) or insulin therapy (p=0.004) tested more frequently as compared to others. Additionally, the frequency of testing was significantly associated with the reason of performing SMBG (p<0.001). Frequency of daily testing was the highest among patients who performed SMBG to know if they were hypoglycemic (48.9%) or hyperglycemic (48.0%), or to inform their doctors (28.4%).
SMBG adherence was suboptimal. Predictors of SMBG adherence were treatment regimen and health education about the SMBG meter.
调查约旦糖尿病患者的血糖自我监测（SMBG）依从性，并确定预测因素。
在约旦南部、北部和中部的18家医院和医疗保健中心开展了一项横断面调查。研究对象为2015年5月至12月到内分泌科门诊就诊的所有糖尿病患者。问卷由经过培训的药剂师发放，患者自行填写。
共有1079名参与者完成了调查。只有59%的参与者坚持进行血糖自我监测。血糖自我监测依从性的预测因素包括治疗方案；使用胰岛素联合口服降糖药（p = 0.044，CI 1.023 - 5.274，OR = 2.323）或仅使用胰岛素（p = 0.005，CI 1.225 - 3.115，OR = 1.953），以及关于如何使用血糖自我监测仪的健康教育（p < 0.001，CI 10.538 - 32.497，OR = 18.506）。血糖自我监测的频率与治疗方案显著相关，服用口服降糖药（p < 0.001）或接受胰岛素治疗（p = 0.004）的患者比其他患者检测更频繁。此外，检测频率与进行血糖自我监测的原因显著相关（p < 0.001）。在为了解是否低血糖（48.9%）或高血糖（48.0%），或为告知医生（28.4%）而进行血糖自我监测的患者中，每日检测频率最高。
血糖自我监测的依从性欠佳。血糖自我监测依从性的预测因素是治疗方案和关于血糖自我监测仪的健康教育。
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