目的了解门诊糖尿病患者自我管理现状及其对血糖控制的影响。方法对随机选取的281例门诊糖尿病患者通过问卷调查和病案摘录,获得近3个月的饮食、锻炼、自我监测、血糖控制等信息,采用因子分析改进的Logistic回归模型探索自我管理与血糖控制间的关系。结果 50%以上患者在饮食、锻炼、药物治疗方面执行较好,23%监测间隔过长,监测方式以医院测定和自备血糖仪为主,56%和47%的患者存在血压或血脂异常,男性和60岁以下患者在自我管理方面不及女性和60岁以上者。社会经济地位高、糖尿病积极治疗是血糖控制的保护性因素,胆固醇异常、自我监测差与血糖控制差正相关,其调整后比值比分别为0.59、0.39、1.89和1.83。结论男性和60岁以下患者是加强自我管理的重点人群,自我监测、锻炼、饮食等会对血糖控制产生独立影响。 Objective To understand the self-management status of outpatients with diabetes mellitus and its influence on blood glucose control. Methods A total of 281 randomly selected outpatients with diabetes mellitus received information on diet, exercise, self-monitoring and glycemic control during the past 3 months through questionnaires and medical records. An improved Logistic regression model was used to explore the relation between self-management and glycemic control Relationship. Results More than 50% of the patients performed well in diet, exercise and drug treatment, with 23% monitoring interval being too long. The monitoring methods were mainly hospital-based and blood glucose meter. Fifty-six percent and 47% of the patients had blood pressure or dyslipidemia, Men and women under the age of 60 are less self-managing than women and those over the age of 60. Socioeconomic status, active treatment of diabetes is a protective factor of glycemic control, abnormal cholesterol, poor self-monitoring and blood glucose control is poorly correlated, adjusted odds ratios were 0.59,0.39,1.89 and 1.83. Conclusions Male and patients under 60 years old are the key population to strengthen self-management. Self-monitoring, exercise and diet will have independent influence on blood sugar control.