Chinese General Practice ›› 2022, Vol. 25 ›› Issue (12): 1470-1474.DOI: 10.12114/j.issn.1007-9572.2021.02.078
Special Issue: 内分泌代谢性疾病最新文章合辑
• Original Research·Diabetic Complications • Previous Articles Next Articles
Received:
2021-08-19
Revised:
2021-12-23
Published:
2022-03-03
Online:
2022-03-21
Contact:
Yongxia REN
About author:
通讯作者:
任永霞
作者简介:
Add to citation manager EndNote|Ris|BibTeX
URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2021.02.078
项目 | 例数 | 就诊时间 | χ2值 | P值 | 项目 | 例数 | 就诊时间 | χ2值 | P值 | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
<1年 | 1~2年 | 3~5年 | >5年 | <1年 | 1~2年 | 3~5年 | >5年 | ||||||||||
性别 | 0.307 | 0.959 | 糖尿病病程(年) | 17.852 | 0.037 | ||||||||||||
男 | 68 | 5(7.4) | 7(10.3) | 10(14.7) | 46(67.6) | <5 | 17 | 3(17.6) | 0 | 1(5.9) | 13(76.5) | ||||||
女 | 52 | 4(7.7) | 4(7.7) | 7(13.5) | 37(71.1) | 5~9 | 31 | 4(12.9) | 5(16.1) | 8(25.8) | 14(45.2) | ||||||
婚姻状况 | 0.534 | 0.911 | 10~20 | 33 | 1(3.0) | 4(12.1) | 3(9.1) | 25(75.8) | |||||||||
已婚 | 101 | 7(6.9) | 9(8.9) | 15(14.9) | 70(69.3) | >20 | 39 | 1(2.6) | 2(5.1) | 5(12.8) | 31(79.5) | ||||||
未婚 | 19 | 2(10.5) | 2(10.5) | 2(10.5) | 13(68.5) | 视力 | 21.960 | 0.001 | |||||||||
文化程度 | 18.056 | 0.035 | <0.01 | 34 | 2(5.9) | 3(8.8) | 12(35.3) | 17(50.0) | |||||||||
小学及以下 | 17 | 1(5.9) | 2(11.8) | 6(35.3) | 8(47.0) | 0.01~0.10 | 60 | 6(10.0) | 7(11.7) | 5(8.3) | 42(70.0) | ||||||
初中 | 25 | 2(8.0) | 3(12.0) | 6(24.0) | 14(56.0) | >0.10 | 26 | 1(3.8) | 1(3.8) | 0 | 24(92.4) | ||||||
高中 | 38 | 3(7.9) | 5(13.2) | 4(10.5) | 26(68.4) | 高脂血症 | 0.819 | 0.845 | |||||||||
大学及以上 | 40 | 3(7.5) | 1(2.5) | 1(2.5) | 35(87.5) | 有 | 68 | 6(8.8) | 7(10.3) | 10(14.7) | 45(66.2) | ||||||
月收入(元) | 18.583 | 0.029 | 无 | 52 | 3(5.8) | 4(7.7) | 7(13.5) | 38(73.0) | |||||||||
<2 000 | 18 | 1(5.6) | 2(11.1) | 4(22.2) | 11(61.1) | 高血压 | 8.394 | 0.039 | |||||||||
2 000~3 999 | 29 | 5(17.2) | 4(13.8) | 7(24.1) | 13(44.9) | 有 | 74 | 3(4.1) | 7(9.5) | 15(20.3) | 49(66.1) | ||||||
4 000~6 000 | 33 | 2(6.1) | 3(9.1) | 5(15.2) | 23(69.6) | 无 | 46 | 6(13.0) | 4(8.7) | 2(4.4) | 34(73.9) | ||||||
>6 000 | 40 | 1(2.5) | 2(5.0) | 1(2.5) | 36(90.0) | DR分期 | 10.564 | 0.103 | |||||||||
居住地 | 12.950 | 0.005 | 中度NPDR | 47 | 5(10.6) | 6(12.8) | 11(23.4) | 25(53.2) | |||||||||
农村 | 55 | 5(9.1) | 6(10.9) | 14(25.5) | 30(54.5) | 重度NPDR | 30 | 1(3.3) | 3(10.0) | 2(6.7) | 24(80.0) | ||||||
城市 | 65 | 4(6.2) | 5(7.7) | 3(4.6) | 53(81.5) | PDR | 43 | 3(7.0) | 2(4.7) | 4(9.3) | 34(79.0) | ||||||
家族史 | 0.574 | 0.902 | DME分级 | 101.830 | <0.001 | ||||||||||||
有 | 71 | 6(8.5) | 7(9.9) | 9(12.7) | 49(68.9) | 轻度 | 9 | 8(88.9) | 0 | 1(11.1) | 0 | ||||||
无 | 49 | 3(6.1) | 4(8.2) | 8(16.3) | 34(69.4) | 中度 | 33 | 1(3.0) | 7(21.2) | 5(15.2) | 20(60.6) | ||||||
医疗费用支付方式 | 4.329 | 0.632 | 重度 | 78 | 0 | 4(5.1) | 11(14.1) | 63(80.8) | |||||||||
新型农村合作医疗 | 35 | 3(8.6) | 6(17.1) | 5(14.3) | 21(60.0) | 血糖监测 | 9.628 | 0.022 | |||||||||
社会医疗保险 | 62 | 4(6.5) | 4(6.5) | 9(14.5) | 45(72.5) | 不定期 | 68 | 9(13.2) | 4(5.9) | 11(16.1) | 44(64.8) | ||||||
自费 | 23 | 2(8.7) | 1(4.3) | 3(13.0) | 17(74.0) | 定期 | 52 | 0 | 7(13.5) | 6(11.5) | 39(75.0) | ||||||
糖尿病发病年龄(岁) | 3.646 | 0.933 | 控制饮食 | 1.167 | 0.761 | ||||||||||||
<40 | 16 | 2(12.5) | 2(12.5) | 2(12.5) | 10(62.5) | 是 | 82 | 7(8.5) | 7(8.5) | 13(15.9) | 55(67.1) | ||||||
40~50 | 34 | 4(11.8) | 2(5.9) | 4(11.8) | 24(70.5) | 否 | 38 | 2(5.3) | 4(10.5) | 4(10.5) | 28(73.7) | ||||||
51~60 | 37 | 2(5.4) | 4(10.8) | 6(16.2) | 25(67.6) | 体育锻炼 | 5.564 | 0.135 | |||||||||
>60 | 33 | 1(3.0) | 3(9.1) | 5(15.2) | 24(72.7) | 是 | 88 | 6(6.8) | 5(5.7) | 14(15.9) | 63(71.6) | ||||||
否 | 32 | 3(9.4) | 6(18.8) | 3(9.4) | 20(62.4) |
Table 1 Univariate analysis of factors influencing visiting time in diabetic retinopathy patients
项目 | 例数 | 就诊时间 | χ2值 | P值 | 项目 | 例数 | 就诊时间 | χ2值 | P值 | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
<1年 | 1~2年 | 3~5年 | >5年 | <1年 | 1~2年 | 3~5年 | >5年 | ||||||||||
性别 | 0.307 | 0.959 | 糖尿病病程(年) | 17.852 | 0.037 | ||||||||||||
男 | 68 | 5(7.4) | 7(10.3) | 10(14.7) | 46(67.6) | <5 | 17 | 3(17.6) | 0 | 1(5.9) | 13(76.5) | ||||||
女 | 52 | 4(7.7) | 4(7.7) | 7(13.5) | 37(71.1) | 5~9 | 31 | 4(12.9) | 5(16.1) | 8(25.8) | 14(45.2) | ||||||
婚姻状况 | 0.534 | 0.911 | 10~20 | 33 | 1(3.0) | 4(12.1) | 3(9.1) | 25(75.8) | |||||||||
已婚 | 101 | 7(6.9) | 9(8.9) | 15(14.9) | 70(69.3) | >20 | 39 | 1(2.6) | 2(5.1) | 5(12.8) | 31(79.5) | ||||||
未婚 | 19 | 2(10.5) | 2(10.5) | 2(10.5) | 13(68.5) | 视力 | 21.960 | 0.001 | |||||||||
文化程度 | 18.056 | 0.035 | <0.01 | 34 | 2(5.9) | 3(8.8) | 12(35.3) | 17(50.0) | |||||||||
小学及以下 | 17 | 1(5.9) | 2(11.8) | 6(35.3) | 8(47.0) | 0.01~0.10 | 60 | 6(10.0) | 7(11.7) | 5(8.3) | 42(70.0) | ||||||
初中 | 25 | 2(8.0) | 3(12.0) | 6(24.0) | 14(56.0) | >0.10 | 26 | 1(3.8) | 1(3.8) | 0 | 24(92.4) | ||||||
高中 | 38 | 3(7.9) | 5(13.2) | 4(10.5) | 26(68.4) | 高脂血症 | 0.819 | 0.845 | |||||||||
大学及以上 | 40 | 3(7.5) | 1(2.5) | 1(2.5) | 35(87.5) | 有 | 68 | 6(8.8) | 7(10.3) | 10(14.7) | 45(66.2) | ||||||
月收入(元) | 18.583 | 0.029 | 无 | 52 | 3(5.8) | 4(7.7) | 7(13.5) | 38(73.0) | |||||||||
<2 000 | 18 | 1(5.6) | 2(11.1) | 4(22.2) | 11(61.1) | 高血压 | 8.394 | 0.039 | |||||||||
2 000~3 999 | 29 | 5(17.2) | 4(13.8) | 7(24.1) | 13(44.9) | 有 | 74 | 3(4.1) | 7(9.5) | 15(20.3) | 49(66.1) | ||||||
4 000~6 000 | 33 | 2(6.1) | 3(9.1) | 5(15.2) | 23(69.6) | 无 | 46 | 6(13.0) | 4(8.7) | 2(4.4) | 34(73.9) | ||||||
>6 000 | 40 | 1(2.5) | 2(5.0) | 1(2.5) | 36(90.0) | DR分期 | 10.564 | 0.103 | |||||||||
居住地 | 12.950 | 0.005 | 中度NPDR | 47 | 5(10.6) | 6(12.8) | 11(23.4) | 25(53.2) | |||||||||
农村 | 55 | 5(9.1) | 6(10.9) | 14(25.5) | 30(54.5) | 重度NPDR | 30 | 1(3.3) | 3(10.0) | 2(6.7) | 24(80.0) | ||||||
城市 | 65 | 4(6.2) | 5(7.7) | 3(4.6) | 53(81.5) | PDR | 43 | 3(7.0) | 2(4.7) | 4(9.3) | 34(79.0) | ||||||
家族史 | 0.574 | 0.902 | DME分级 | 101.830 | <0.001 | ||||||||||||
有 | 71 | 6(8.5) | 7(9.9) | 9(12.7) | 49(68.9) | 轻度 | 9 | 8(88.9) | 0 | 1(11.1) | 0 | ||||||
无 | 49 | 3(6.1) | 4(8.2) | 8(16.3) | 34(69.4) | 中度 | 33 | 1(3.0) | 7(21.2) | 5(15.2) | 20(60.6) | ||||||
医疗费用支付方式 | 4.329 | 0.632 | 重度 | 78 | 0 | 4(5.1) | 11(14.1) | 63(80.8) | |||||||||
新型农村合作医疗 | 35 | 3(8.6) | 6(17.1) | 5(14.3) | 21(60.0) | 血糖监测 | 9.628 | 0.022 | |||||||||
社会医疗保险 | 62 | 4(6.5) | 4(6.5) | 9(14.5) | 45(72.5) | 不定期 | 68 | 9(13.2) | 4(5.9) | 11(16.1) | 44(64.8) | ||||||
自费 | 23 | 2(8.7) | 1(4.3) | 3(13.0) | 17(74.0) | 定期 | 52 | 0 | 7(13.5) | 6(11.5) | 39(75.0) | ||||||
糖尿病发病年龄(岁) | 3.646 | 0.933 | 控制饮食 | 1.167 | 0.761 | ||||||||||||
<40 | 16 | 2(12.5) | 2(12.5) | 2(12.5) | 10(62.5) | 是 | 82 | 7(8.5) | 7(8.5) | 13(15.9) | 55(67.1) | ||||||
40~50 | 34 | 4(11.8) | 2(5.9) | 4(11.8) | 24(70.5) | 否 | 38 | 2(5.3) | 4(10.5) | 4(10.5) | 28(73.7) | ||||||
51~60 | 37 | 2(5.4) | 4(10.8) | 6(16.2) | 25(67.6) | 体育锻炼 | 5.564 | 0.135 | |||||||||
>60 | 33 | 1(3.0) | 3(9.1) | 5(15.2) | 24(72.7) | 是 | 88 | 6(6.8) | 5(5.7) | 14(15.9) | 63(71.6) | ||||||
否 | 32 | 3(9.4) | 6(18.8) | 3(9.4) | 20(62.4) |
变量 | 赋值 |
---|---|
文化程度 | 小学及以下=1,初中=2,高中=3,大学及以上=4 |
月收入 | <2 000元=1,2 000~3 999元=2,4 000~6 000元=3,>6 000元=4 |
居住地 | 农村=1,城市=2 |
糖尿病病程 | <5年=1,5~9年=2,10~20年=3,>20年=4 |
视力 | <0.01=1,0.01~0.10=2,>0.10=3 |
高血压 | 有=1,无=2 |
DME分级 | 轻度=1,中度=2,重度=3 |
血糖监测 | 不定期=1,定期=2 |
就诊时间 | <1年=1,1~2年=2,3~5年=3,>5年=4 |
Table 2 Variable assignment for factors influencing visiting time in diabetic retinopathy patients analyzed using multinomial ordinal Logistic regression analysis
变量 | 赋值 |
---|---|
文化程度 | 小学及以下=1,初中=2,高中=3,大学及以上=4 |
月收入 | <2 000元=1,2 000~3 999元=2,4 000~6 000元=3,>6 000元=4 |
居住地 | 农村=1,城市=2 |
糖尿病病程 | <5年=1,5~9年=2,10~20年=3,>20年=4 |
视力 | <0.01=1,0.01~0.10=2,>0.10=3 |
高血压 | 有=1,无=2 |
DME分级 | 轻度=1,中度=2,重度=3 |
血糖监测 | 不定期=1,定期=2 |
就诊时间 | <1年=1,1~2年=2,3~5年=3,>5年=4 |
变量 | B | SE | Wald χ2值 | P值 | OR(95%CI) |
---|---|---|---|---|---|
居住地 | 2.104 | 0.790 | 7.097 | 0.008 | 3.395(1.362,7.053) |
视力 | 1.379 | 0.595 | 5.380 | 0.020 | 1.526(1.086,2.775) |
高血压 | 1.290 | 0.699 | 3.403 | 0.045 | 1.307(1.002,5.376) |
DME分级 | 4.098 | 0.595 | 47.385 | <0.001 | 5.537(1.897,9.534) |
血糖监测 | 1.700 | 0.728 | 5.454 | 0.020 | 2.582(1.271,6.882) |
Table 3 Multinomial ordinal Logistic regression analysis of factors influencing visiting time in diabetic retinopathy patients
变量 | B | SE | Wald χ2值 | P值 | OR(95%CI) |
---|---|---|---|---|---|
居住地 | 2.104 | 0.790 | 7.097 | 0.008 | 3.395(1.362,7.053) |
视力 | 1.379 | 0.595 | 5.380 | 0.020 | 1.526(1.086,2.775) |
高血压 | 1.290 | 0.699 | 3.403 | 0.045 | 1.307(1.002,5.376) |
DME分级 | 4.098 | 0.595 | 47.385 | <0.001 | 5.537(1.897,9.534) |
血糖监测 | 1.700 | 0.728 | 5.454 | 0.020 | 2.582(1.271,6.882) |
[1] |
苏月,王洁,于珮,等. 血浆纤维蛋白原在糖尿病视网膜病变患者中的水平及意义[J]. 国际内分泌代谢杂志,2016,36(1):1-5. DOI:10.3760/cma.j.issn.1673-4157.2016.01.001.
|
[2] |
中华医学会糖尿病学分会视网膜病变学组. 糖尿病视网膜病变防治专家共识[J]. 中华糖尿病杂志,2018,10(4):241-247. DOI:10.3760/cma.j.issn.1674-5809.2018.04.001.
|
[3] |
|
[4] |
|
[5] |
姚树桥,杨彦春. 医学心理学[M]. 北京:人民卫生出版社,2013.
|
[6] |
中华医学会眼科学会眼底病学组. 我国糖尿病视网膜病变临床诊疗指南(2014年)[J]. 中华眼科杂志,2014(11):851-865. DOI:10.3760/cma.j.issn.0412-4081.2014.11.014.
|
[7] |
徐红. 医院糖尿病视网膜病变患者的流行病学特征分析[J]. 中国医药指南,2017,15(8):152-153.
|
[8] |
袁明霞. 糖尿病视网膜病变的筛查与治疗——2015年ADA诊疗指南解读[J]. 糖尿病临床,2015,9(4):194-195. DOI:10.3969/j.issn.1672-7851.2015.04.004.
|
[9] |
|
[10] |
|
[11] |
张苍,曾咏梅,刘可. 糖尿病足患者就诊延迟现状及其影响因素分析[J]. 中华护理杂志,2016,51(5):567-572. DOI:10.3761/j.issn.0254-1796.2016.05.011.
|
[12] |
|
[13] |
王志慧,于新,陈长香. 糖化血红蛋白与糖尿病视网膜病变患者视力损害程度的相关性[J]. 职业与健康,2015,31(3):430-432.
|
[14] |
马燕,邹雪琴. "医患双达标"健康教育模式对糖尿病患者血糖管理及并发症的影响[J]. 天津护理,2020,28(2):199-201. DOI:10.3969/j.issn.1006-9143.2020.02.023.
|
[15] |
袁烨,贾莉莉. 曲安奈德辅助眼底激光对糖尿病视网膜病变患者临床疗效的影响观察[J]. 贵州医药,2020,44(8):1281-1282. DOI:10.3969/j.issn.1000-744X.2020.08.049.
|
[16] |
王思淼,金欣,任海燕. 普外科患者手术决策困难的现状及影响因素分析[J]. 天津护理,2019,27(6):655-658. DOI:10.3969/j.issn.1006-9143.2019.06.007.
|
[17] |
李伟业,黎晓新,徐国彤. 糖尿病视网膜病变[M]. 北京:人民卫生出版社,2017.
|
[18] |
林蔚,杨冰,张继武. 糖尿病视网膜病变远程筛查系统研究进展[J]. 中国医学装备,2020,17(10):215-218. DOI:10.3969/J.ISSN.1672-8270.2020.10.055.
|
[19] |
|
[20] |
赵媛媛,白昊,谢桂军. 自我整体强化护理对糖尿病性视网膜病变患者围手术期影响研究[J]. 山西医药杂志,2018,47(6):713-716. DOI:10.3969/j.issn.0253-9926.2018.06.040.
|
[21] |
陈丽萍,张爱华,刘化侠,等. 癌症病人就医延迟与社会支持的相关性研究[J]. 护理研究,2014,28(16):1946-1947. DOI:10.3969/j.issn.10096493.2014.16.011.
|
[1] | HU Jieman, TAN Feixiang, YUAN Anxin, CHEN Shiyu, TANG Chulei, YIN Yueheng, BA Lei, XU Qin. Analysis of the Trajectory of Postoperative Frailty and Influencing Factors in Patients with Colorectal Cancer [J]. Chinese General Practice, 2025, 28(26): 3276-3282. |
[2] | CHOU Xintong, PENG Hanyu, MA Hui, ZHANG Zhen, SU Xian, QIU Hongyan. Maternal Preferences in Contraceptive Decision-making: an Analysis of Influencing Factors [J]. Chinese General Practice, 2025, 28(26): 3294-3299. |
[3] | WEI Jiaohua, PENG Huiru, PENG Jianye, TAN Wenting, HUANG Jine, FANG Li. Expression of the Serum MOTS-c and Its Correlation with Atrial Remodeling in Patients with Atrial Fibrillation [J]. Chinese General Practice, 2025, 28(26): 3271-3276. |
[4] | YU Zizi, LIU Duli, LI Ximin, RUAN Chunyi, YIN Xiangyang, CAI Le. Analysis of the Prevalence and Self-management of Hypertension and Its Influencing Factors in Rural [J]. Chinese General Practice, 2025, 28(25): 3137-3143. |
[5] | FAN Boyang, ZHANG Yu, SUN Wenning, ZHANG Huifang, WANG Yingjie, ZHANG Ao, ZHAO Yang, WANG Haipeng. Study of Behavioral Intention and Influencing Factors of Integrated Medical and Preventive Care Provided by Grassroots Doctors for Patients with Chronic Diseases [J]. Chinese General Practice, 2025, 28(25): 3144-3150. |
[6] | WANG Rupeng, NAN Jing, HU Yiran, YANG Shenghua, JIN Zening. Predictive Value of the Triglyceride-Glucose Body Mass Index for Slow Flow/No-reflow Phenomenon in Patients with Type 2 Diabetes Mellitus and Acute Myocardial Infarction Undergoing Emergency Percutaneous Coronary Intervention [J]. Chinese General Practice, 2025, 28(24): 2985-2992. |
[7] | WU Yue, WANG Xuetong, KE Bilian. Evaluation of Vision-related Quality of Life in Myopic Macular Degeneration Patients with Low Vision and Associated Factors [J]. Chinese General Practice, 2025, 28(23): 2908-2914. |
[8] | DING Zijun, ZHOU Nannan, LUO Xing, LUO Jieyu, HAO Wenjuan, ZHANG Chunjiang, JIN Xin, ZHAO Dan. Cognitive Impairment in Patients on Maintenance Hemodialysis and Its Influencing Factors: a Multicenter Cross-sectional Study [J]. Chinese General Practice, 2025, 28(23): 2885-2893. |
[9] | WEI Xiaoxia, CHEN Nuo, WANG Juanjuan, ZHU Jingfen. The Effects of Depression and Anxiety on Smoking Behavior among Vocational School Students [J]. Chinese General Practice, 2025, 28(22): 2826-2832. |
[10] | ZHAO Xiaoqing, GUO Tongtong, ZHANG Xinyi, LI Linhong, ZHANG Ya, JI Lihong, DONG Zhiwei, GAO Qianqian, CAI Weiqing, ZHENG Wengui, JING Qi. Construction and Validation of a Risk Prediction Model for Cognitive Impairment in Community-dwelling Older Adults [J]. Chinese General Practice, 2025, 28(22): 2776-2783. |
[11] | WANG Shuang, WU Shufa, LING Yao, TAN Xiwei, CAO Rudai, ZENG Huiting, KONG Danli, DING Yuanlin, YU Haibing. Metabolomics Based Mediating Role of Non-lipid Metabolites in the Relationship between Obesity and Diabetic Retinopathy: a Mendelian Randomization Study [J]. Chinese General Practice, 2025, 28(21): 2625-2634. |
[12] | HAO Aihua, ZENG Ziying, JIN Aiqiong, TANG Lingling, ZHENG Zique, MA Jingtai, ZHAO Jianguo, ZENG Weilin, XIAO Jianpeng, NIE Hui, YANG Ying. Analysis of Factors Influencing Avoidable Hospitalization for Elderly Hypertensive Patients [J]. Chinese General Practice, 2025, 28(19): 2370-2375. |
[13] | JING Tao, DAI Yongmei, LUO Jianying, LUO Wei, JI Yelinfan, PENG Chi, ZHANG Cuijun, CAO Yanjun, ZHENG Qing, HUANG Yu, SHEN Hejun. The Body Mass Index, Dietary Knowledge Acquisition Level, Sedentary Time and Influencing Factors among Chinese High School Students [J]. Chinese General Practice, 2025, 28(16): 2025-2032. |
[14] | HUANG Zhijie, MAI Zhihua, WANG Haoxiang, HE Yuming, DENG Qiaoyan, DAI Ranran, ZHOU Zhiheng. Multimorbidity of Hypertension, Diabetes, and Dyslipidemia and Influencing Factors of Family Function among the Elderly [J]. Chinese General Practice, 2025, 28(16): 2001-2010. |
[15] | ZHAO Can, SHEN Ying, XI Qian, PENG Houxuan, QIN Jinqiong, WANG Xuan, ZHENG Yanping, QIN Li, ZUO Yanli. The Hospitalization Spending and Associated Factors in Inpatients with Multimorbidity in Township Health Centers in Guangxi [J]. Chinese General Practice, 2025, 28(16): 2039-2049. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||