摘要
目的：探讨糖尿病患者的自我管理现状，并分析其影响因素。方法选取2011年1月-2013年1月内分泌科门诊就诊的160例糖尿病确诊患者，分为血糖控制良好组（ A组）和血糖控制不佳组（ B组）各80例，进行问卷调查，让患者填写一般资料表、门诊糖尿病患者自我管理调查问卷及门诊糖尿病患者自我管理现状影响因素问卷。结果血糖控制良好组患者饮食管理、运动管理、药物管理、血糖监测、低血糖管理及掌握并发症预防的患者比例分别为90．0％，87．5％，83．8％，82．5％，73．8％，85．0％，高于血糖控制不佳组的51．2％，55．0％，40．0％，36．3％，36．3％，31．3％，两组比较差异有统计学意义（χ2值分别为28．951，20．625，32．456，35．472，22．727，47．479；P＜0．01）。血糖控制良好组患者文化程度、医药费支付方式、病程长短、住院史、并发症、接受健康教育情况、社会支持情况、情绪抑郁情况及糖尿病知识情况等因素对自我管理状况的影响与血糖控制不佳组比较，差异有统计学意义（χ2值分别为24．571，19．126，12．010，12．890，16．242，34．450，25．126，30．126，39．126；P＜0．05）；血糖控制良好组年龄、性别、职业、婚姻状况及家族史等因素对自我管理状况的影响与血糖控制不佳组比较，差异无统计学意义（χ2值分别为1．026，9．010，6．564，1．976，3．337；P＞0．05）。结论糖尿病患者的自我管理现状不理想，通过对影响患者自我管理现状因素的分析，可以提高糖尿病患者血糖控制的达标率，改善患者的生活质量。
Objective To investigate the situation of diabetes self-management and its influencing factors.Methods From January 2011 to January 2013,totals of 160 patients in endocrinology outpatient of affiliated hospital of Guilin Medical Hospital were divided into good blood glucose control group named group A （ n=80 ） and poor glucose control group named group B （ n=80 ） .They were investigated with questionnaires , which including general information table , self-management questionnaire and so on .Results In group A, management of diet, exercise, medicine, blood sugar monitoring, hypoglycemia, and master of complications of patients was respectively higher than that in group B , and the difference of self-management between group A and group B was statistically significant （χ2 =28.951,20.625,32.456,35.472,22.727,47.479,respectively;P＆lt;0.01）.And analysis results showed that degree of education ,payment,courses of disease, inpatient visits , complication, health education,social support,emotion,and diabetes knowledge master were the influencing factors for diabetes self-management （χ2 =24.571,19.126,12.010,12.890,16.242,34.450,25.126,30.126, 39.126,respectively;P ＆lt;0.05）.While no statistically significant difference was found in the patients with different age,gender,profession,martial status and family history （χ2 =1.026,9.010,6.564,1.976,3.337, respectively;P＆gt;0.05）.Conclusions Diabetes self-management situation is not ideal ,and influencing factors analysis of patient self-management situation can improve the standards rate of glucose control in patients with diabetes , so as to improve the patients ’ quality of life .
出处
《中华现代护理杂志》
2014年第6期669-671,共3页
Chinese Journal of Modern Nursing
关键词
糖尿病
自我管理
影响因素
Diabetes
Self-management
Influencing factors
