摘要
目的分析农村地区老年糖尿病患者自我管理效能与血糖控制效果的关系。方法选取2017年1—6月在上海市浦东新区凌桥社区卫生服务中心就诊并自行注射胰岛素的85例老年糖尿病患者进行回顾性总结分析,通过现场问卷调查、实验室检查和自我效能量表等方式比较患者自我效能与血糖控制水平的相关性。结果凌桥农村地区80例老年糖尿病患者中,自我效能水平中等及以下的患者比例高达88.75%,自我效能水平总体处于中低水平;其中自我效能水平越高,FBG、PBG和HbAlc水平越低(P<0.05)。自我效能总分与FBG、PBG和HbAlc水平均呈负相关(P<0.05)。结论凌桥地区农村老年糖尿病患者使用胰岛素规范性差,自我效能水平总体低下,其中自我效能水平与FBG、PBG和HbAlc达标相关。医务人员应加强糖尿病健康宣教,注重血糖控制较差的患者自我效能的提高,同时积极控制血糖,从而有助于提高患者的自我效能和血糖控制。
OBJECTIVE To analyze the relationship between the self-efficacy of the elderly diabetic patients and the blood glucose control after insulin injection in rural areas. METHOD Elderly patients with diabetes from January 2017 to June 2017 the community care and Lingqiao self injection of insulin 85 cases to carry out the survey,to analyze the correlation between the self-efficacy and the level of blood glucose control. RESULTS The rural area of Lingqiao elderly patients with diabetes self-efficacy level was low,the level of sef-efficacy was higher,FBG,PBG and HbAlc,the lower the level of（P〈0.05）. The total score of self-efficacy was negatively correlated with FBG,PBG and HbAlc water（P〈0.05）. CONCLUSION The Lingqiao area of rural elderly patients using insulin standardized,low level of selfefficacy,self-efficacy and the level of FBG,PBG and HbAlc related standards,The level of self-efficacy of patients with Type-2 DM needs improving. Nursing personnels should attach importance to strengthening the diabetes health education,improving this level of patients of poor self-control of blood glucose,take active measures in controlling the blood glucose to enhance patients’serf-efficacy,help patients with blood glucose control.
作者
李强
刘浩
樊爱青
LI Qiang;LIU Hao;FAN Ai-qing
出处
《中国初级卫生保健》
2018年第11期46-47,共2页
Chinese Primary Health Care
基金
上海市浦东新区卫生系统优秀社区适宜人才培养(PWRs2014-31)
