摘要
目的了解上海市金山区糖尿病患者健康知识知晓率、行为依从性,为开展糖尿病患者健康教育工作提供理论依据和数据支撑。方法采取随机整群抽样的方式,随机抽取2个社区共380位糖尿病患者开展问卷调查。结果调查对象糖尿病防治知识知晓率为62. 45%,不同性别、年龄、文化程度、职业、医保方式患者糖尿病防治知识知晓率差异有统计学意义(χ~2=29. 399,P<0. 01;χ~2=18. 125,P<0. 01;χ~2=118. 768,P<0. 01;χ~2=46. 751,P<0. 01;χ~2=16. 143,P<0. 01);男性高于女性;随着年龄增长,知晓率出现下降的趋势;学历越高的知晓率也越高;企事业职工高于农民。调查对象行为依从性得分为(66. 16±12. 03)分,不同文化程度、医保方式糖尿病患者行为依从性得分差异有统计学意义(F=11. 639,P<0. 01; F=12. 759,P<0. 01)。二分类Logistic回归分析结果显示,健康知识知晓率与职业、文化程度相关,健康行为依从性与文化程度、健康知识知晓率相关。结论糖尿病患者不同维度知识掌握水平不一,不同类别人群知晓率差异较大,健康行为依从性较低,提示今后应加强低文化程度患病人群关注,加大健康教育力度,加强糖化血红蛋白、高危人群等薄弱知识点的宣传。发挥家人、朋友、邻居社会支持和监督作用,借助家庭医生团队、健康自我管理小组等形式,提升患者依从性,降低糖尿病并发症发生率。
Objective To understand the health knowledge awareness rate and behavioral compliance of diabetes patients in Jinshan district of Shanghai,to provide scientific basis and data support for the health education work of diabetes patients. Methods Using the method of stratified random cluster sampling,randomly selected patients from 2 communities,a total of 380 diabetic patients were surveyed by questionnaire. Results The overall awareness rate of the knowledge of diabetes prevention and control was 62. 45%. The awareness rate of diabetes prevention knowledge was statistically different among different gender, age, education level,occupation and medical insurance mode( χ^2= 29. 399,P<0. 01;χ^2= 18. 125,P < 0. 01;χ^2= 118. 768,P < 0. 01;χ^2 = 46. 751, P < 0. 01;χ^2= 16. 143, P < 0. 01). The awareness rate was higher in men than in women. As the age increased, the awareness rate of decreased. The higher the degree,the awareness rate was also higher.Enterprise and public service worker had higher awareness rate than farmer. The behavior compliance score of the subjects was( 66. 16 + 12. 03). There were significant differences in the behavior compliance scores of diabetic patients with different cultural and medical insurance methods( F = 11. 639,P<0. 01,F = 12. 759,P<0. 01).The results of binary logistic regression analysis showed that the knowledge awareness rate was related to occupational classification and educational level, the compliance of health behavior was related to the educational level and the awareness rate of health knowledge. Conclusion The awareness rate of health knowledge was different among different dimensions and different diabetic patient groups,the compliance level of health behavior was low. It is suggested that more attention should be paid to people of low educational background in the future,health education should be intensified,knowledge points of low awareness such as glycosylated hemoglobin and high-risk groups should be publicized. Family members,friends and neighbors should give fu
作者
吴龙辉
陈亦芳
王海燕
高霞
WU Longhui;CHEN Yifang;WANG Haiyan;GAO Xia(Jinshan District Center for Disease Control and Prevention,Shanghai 201599,China.)
出处
《预防医学情报杂志》
CAS
2019年第3期223-227,共5页
Journal of Preventive Medicine Information
基金
2015年上海市金山区卫生计生委课题(项目编号:JSKJ-KTMS-2015-09)
关键词
2型糖尿病患者
糖尿病相关知识
行为依从性
健康教育
type 2 diabetic patient
diabetes related knowledge
behavioral compliance
health education
