摘要
目的比较糖尿病态度、愿望与需求研究（DAWN2）研究结果中，中国与其他国家的不同之处。方法2012年4月至6月对504例中国糖尿病患者和8092例其他国家糖尿病患者以网络、电话或者面对面访谈的形式进行问卷调查。问卷内容涉及生活质量、心理健康、自我护理管理、授权和医疗支持等。采用广义线性混合模型估计数值，结果采用t检验进行对比分析。结果以糖尿病问题量表（PAID．5）评价，中国患者的综合评分（37．6）高于其他国家（33．7）（t=-3．37，P〈0．001），为糖尿病感到非常苦恼的患者比例在中国f47．3％）显著高于其他国家（41．3％）（t=-2．58，P=0．010）。以糖尿病授权量表（DES．SV）评价，中国患者的综合评分（47．3）显著高于其他国家患者（37．6）（t=-8．89，P〈0．001）。以糖尿病自我管理行为量表（SDSCA）评价，在过去7d中，中国患者（2．9d）检查足部状况的平均时间显著少于其他国家患者（3．6d，t=5．29，P〈0．001）。以慢性疾病护理病人量表（PACIC）评价，中国患者的综合评分（42．4）显著高于其他国家（36．5，t=-4．99，P〈0．001），但量表中报告认为医疗队伍“有条理地安排治疗，护理，令我感到满意”的患者比例在中国（25．6％）仅约为其他国家f52．4％）的一半（t=10．25，P〈0．001）。结论中国糖尿病患者的生理和心理负担较其他国家明显，中国患者具有良好的授权能力，医护队伍的支持有待提高，应特别重视患者的心理健康和足部检查护理。
Objective To compare the Diabetes Attitudes, Wishes and Needs second study （DAWN2） results between China and other countries. Methods In the year of 2012, a total of 504 Chinese patients with diabetes and 8 092 patients with diabetes from other countries were surveyed with questionnaires via online, telephone or in person methods. The survey was related to quality of life, psychological well-being, self-management, empowerment and health care support. The value was estimated with generalized linear mixed models and compared with t test. Results As evaluated by Problem Areas in Diabetes Scale 5 （PAID-5）, the composite score for Chinese patients with diabetes（37.6） was statistically significantly higher than the average level of other eountries（33.7）（t=-3.37, P〈0.O01）; incidence of diabetes related distress was reported by 47.3% in Chinese patients with diabetes, and it was significantly higher than that in other countries（41.3%）（t=-2.58, P=0.010）. As evaluated by Diabetes Empowerment Scale-Short Form （DES-SF）, the composite score in Chinese patients （47.3） was significantly higher than that in patients from other countries（37.6）（t=-8.89, P〈0.001）. As evaluated by the Summary of Diabetes Self-Care Activities （SDSCA）, in the past 7 days, Chinese patients performed ＂foot check＂ for an average of 2.9 days, which was significantly lower than that in patients from other countries（3.6 days）（t=5.29, P〈0.001）. As evaluated by Patient Assessment of Chronic Illness Care（PACIC）, the composite score in Chinese patients was 42.4 and it was significantly higher than that in patients from other countries（36.5） （t=-4.99, P〈0.001）. However, the rate of patients reporting ＇I was satisfied that my care was well-organized＇ was 25.6% in Chinese patients and it was significantly lower than that in other countries（52.4% ）（t=10.25, P〈0.001）. Conclusions Diabetes is apparently a physical and psychological burden to Chinese patients. Chinese patien
出处
《中华糖尿病杂志》
CAS
CSCD
2016年第1期29-34,共6页
CHINESE JOURNAL OF DIABETES MELLITUS
关键词
糖尿病
生活质量
自我管理
授权
Diabetes mellitus
Quality of life
Self-management
Empowerment
