安徽省2型糖尿病患者心脏病风险知识掌握现状及影响因素研究

目的 了解安徽省2型糖尿病患者心脏病风险知识 (heart disease risk knowledge，HDRK）掌握现况及影响因素。方法 对安徽省781位T2DM患者进行问卷调查。单因素方差和多元回归分析T2DM患者HDRK得分及影响因素。结果 T2DM患者HDRK得分（17.61±2.68）（P＜0.05），糖尿病态度得分（99.26±8.02）（P＜0.05）。回归分析显示:职业 (OR = 1.203, 95% CI:0.126～2.637, P＜0.001)、病程（OR = 3.338, 95% CI:3.313～13.105, P＜0.001）、糖尿病家族史(OR = 1.178, 95% CI:0.450～2.030, P＜0.001)、冠心病史(OR = 2.457, 95% CI:1.920～4.660,P＜0.001)、高脂血症史 (OR = 1.244, 95% CI:0.659～2.462, P＜0.01)和糖尿病态度 (OR = 2.826,95% CI:1.565～2.964,P＜0.001) 是影响T2DM患者HDRK的主要危险因素。结论 对于HDRK不足的T2DM患者，医务人员应重视HDRK健康教育，提升其对心脏病风险的认知，预防或减缓糖尿病性心脏病的发生。

Heart disease knowledge and influencing factor in patients with type 2 diabetes: a multi-center cross sectional study in Anhui,China

Objective To understand the current status and influencing factors of heart disease risk knowledge(HDRK) in patients with type 2 diabetes mellitus(T2DM) in Anhui Province. Methods A total of 781 T2DM patients in Anhui Province were surveyed using questionnaires. One-way ANOVA and multiple regression analysis were performed to analyze HDRK score of T2DM patients and the influencing factors. Results The HDRK score of T2DM patients was(17.61±2.68) points(P<0.05), and the diabetes attitude score was(99.26±8.02) points(P<0.05). Regression analysis showed that occupation(OR=1.203,95%CI: 0.126-2.637, P<0.001), course of disease(OR=3.338, 95%CI: 3.313-13.105, P<0.001), family history of diabetes(OR=1.178, 95%CI: 0.450-2.030, P<0.001), history of coronary heart disease(OR=2.457, 95%CI: 1.920-4.660, P<0.001),history of hyperlipidemia(OR=1.244, 95%CI: 0.659-2.462, P<0.01), and diabetes attitude(OR=2.826, 95%CI: 1.565-2.964,P<0.001) were the major influencing factors of HDRK score in T2DM patients. Conclusion For T2DM patients with insufficient knowledge of heart disease risk, attention should be paid to enhance health education so as to prevent or slow down diabetic heart disease occurrence.