山西省2型糖尿病患者自我管理现状调查及相关因素分析  

Evaluation analysis of influencing factors of Type Ⅱ Diabetes Patients' self-management in Shanxi Province

作　　者：王晓云[1] 兰文霞[1] 柳洁[1] 高莉[2] 魏庆莉[3] 张晋峰[4] 常淑娟 魏秀聪 余淑丽 

机构地区：[1]山西省人民医院内分泌科 [2]山西省太原市人民医院内分泌科 [3]山西省大同市第三人民医院内分泌科 [4]山西省太原市中心医院内分泌科 [5]山西省长治市和平医院内分泌科 [6]山西省西山煤电集团公司总医院 [7]山西省运城市同德医院内分泌科

出　　处：《齐齐哈尔医学院学报》2012年第8期1065-1069,共5页Journal of Qiqihar Medical University

摘　　要：目的探讨山西省2型糖尿病患者自我管理现状及其影响因素。方法采取随机抽样,抽取山西省5个地市9所二级以上医院内分泌科门诊就诊的糖尿病患者共200例、采用问卷调查法,由患者填写"中国2型糖尿病病人自我管理情况调查问卷"。结果病人血糖监测的自我管理行为执行程度最低(57.86%);多分类logistic回归分析显示:影响糖尿病自我管理效果的因素主要有年龄、文化程度、病程、治疗方法、婚姻状况、接受教育情况、糖尿病知识;糖尿病自我管理各维度与年龄、文化程度、人均年收入、病程、糖尿病合并症、糖尿病并发症、社会支持、糖尿病知识有相关性(P<0.05)。结论目前我省糖尿病患者的自我管理现状还不理想,其中文化程度、糖尿病知识是患者自我管理现状的主要影响因素。在可干预的因素中,自我效能、患者对疾病的认知、抑郁情绪也是患者自我管理的影响因素,但这些影响因素对自我管理各维度的解释度还较低,建议今后的研究在此基础上扩大影响因素探索的范围,进一步广泛深入开展可干预因素的探讨和研究。Objective To explore the status and influencing factors of the selfmanagement of Type 2 diabetes patients in Shanxi Province. Methods This paper has employed the method of random sampling （drawing 199 diabetes patients who got their treatment in the Outpatient Service of the Endocrine Department of hospitals of at least second-class in 5 cities or regions in Shanxi Province） and the method of questionnaire survey （making the patients fill in the form which was entitled ＂Questionnaire on the Self-management of Type 2 Diabetes Patients in China＂）. Results Patients were the least active in the aspect of the self-management of monitoring their blood sugar（57.86% ;aecording to the logistic regression analysis of multi-classification, the influence factors of diabetes patients＂ self-management mainly included age, educational level, course of disease, methods of treatment, marital status and knowledge of diabetes; the dimensions of diabetes patients＂ self-management were related to age, educa- tional level, average annual per capita income, course of disease, diabetic complications, social support and knowledge of diabetes （P ~ 0.05）. Conclusions At present, the status of the self-management of diabetes patients in our province is still unsatisfactory. The major influence factors here are educational level and knowledge of diabetes. Among the factors about which something could be done, self-activity, knowledge of diabe＇tes and depression could also influence diabetes patients＂ self-management. Nevertheless, these factors are not yet well probed into. Hopefully, researches in the future would be wider and deeper in the exploration of the factors about which something could be done.

关 键 词：糖尿病 自我管理 影响因素 

分 类 号：R445.1[医药卫生—影像医学与核医学]