摘要
目的探讨社区糖尿病患者的自我管理能力和生活质量的相关性。方法采用便利抽样法调查沈阳市内五区的2型糖尿病(T2DM)社区居民944例,应用糖尿病自我管理量表和第二版36条目健康调查量表(SF36-v2)评估T2DM患者的自我管理能力和生活质量状况。结果沈阳市T2DM患者的自我管理能力标准化得分为(2.89±0.52)分,处于中等水平;基于常模计算,生活质量中的生理健康总分(PCS)为(50.00±9.83)分,接近常模水平,心理健康总分(MCS)为(41.61±11.27)分,低于常模水平。自我管理能力与生理健康之间呈正相关(r=0.14,P <0.01),而与心理健康之间不存在统计学意义的相关(P> 0.05)。结论提高糖尿病患者的自我管理能力可能仅有助于患者的生理健康,而患者的心理健康需要社区慢病管理人员的专业支持。
Objective To investigate the relationship between self-management ability and quality of life in patients with type 2 diabetes mellitus(T2DM)within communities from five administrative districts of Shenyang.Methods A cross-sectional design was used to study a sample of 944 patients.The patients completed a self-management scale,and the 36-Item Short-form Health Survey Scale versionⅡ.Results The standardized score of self-management in patients with T2DM in Shenyang was 2.89±0.52,which was at moderate level.The overall physical component summary(PCS)for patients with T2DM was 50.00±9.83,which was comparable to the Chinese national norm.The mental component summary was 41.61±11.27,which was lower than the Chinese national norm.There was a positive correlation between self-management ability and physical health(based on the PCS)(r=0.14,P<0.01),while there was no statistically significant correlation between self-management ability and physical health(based on the PCS)(P>0.05).Conclusion This study provides evidence that the promotion of self-management could be related to improved physical health.Health care providers should offer specific mental assistance to patients with diabetes in the community.
作者
李雪莹
李小寒
LI Xueying;LI Xiaohan(Department of Fundamemtal Nursing,Nursing School,China Medical University,Shenyang 110122,China)
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2019年第4期333-337,共5页
Journal of China Medical University
基金
美国中华医学会基金课题(#11-085)
关键词
2型糖尿病
社区
自我管理
生活质量
type 2 diabetes mellitus
community
self-management
quality of life
