摘要
目的调查社区2型糖尿病患者自我管理现状并探讨其影响因素。方法对在北京市某社区卫生服务站就诊的252例2型糖尿病患者采用糖尿病自我管理行为量表、糖尿病痛苦量表、慢性病资源问卷、糖尿病知识问卷、简易疾病认知问卷、糖尿病自我效能量表进行调查,并监测生理生化指标。结果糖尿病患者的自我管理行为标准得分为61.90分。各维度标准得分为:饮食73.42分;运动32.66分;血糖监测21.29分;足部护理40.00分;遵医嘱用药78.00分。自我效能、慢性病资源、糖尿病疾病认知和腰围是社区2型糖尿病患者自我管理行为的主要影响因素,可以解释社区2型糖尿病患者自我管理行为总变异的31.5%。结论我国社区2型糖尿病患者自我管理行为现状欠理想,应根据患者的需要实施针对性干预措施,使其建立科学的自我管理行为。
Objective To investigate the current status of self - management behaviors among type 2 diabetic community patients, and to analyze its influ-ential factors. Methods A total of 252 type 2 diabetic community patients were recruited and investigated with the SummaD, of Diabetes Self - Care Activities Questionnaire （ SDSCA）, the Diabetes Distress Scale （DDS） , the Chronic Illness Resources Survey （CIRS） , the Diabetes Knowledge Questionnaire, the Brief Ill- ness Perception Questionnaire, and the Diabetes Self - Efficacy Scale,the physiological and the biochemical indexes were monitored. Results The total score of self - management behaviors among type 2 diabetic patients was 61.90 ,the standard dimension scores were 73.42 for diet ,32.66 for exercise ,21. 29 for glucose monitoring ,40.00 for foot care ,78.00 for medication compliance. Self - efficacy, chronic disease resources, illness perception, and waistline were the main influ-ential factors and explained 31.5 % of the variance. Conclusion The current status of self - management in diabetic patients is not ideal. Specific interventional measures should be taken according to patients＂ needs and promote scientific self - management behaviors of them.
出处
《护理管理杂志》
2013年第7期478-480,共3页
Journal of Nursing Administration
基金
首都中医药与护理专项基金(11ZYH10)
关键词
社区护理
糖尿病
自我管理
community nursing
diabetes mellitus
self - management
