社区老年2型糖尿病患者自我管理状况相关因素分析  

Related factors analysis on community elderly patients with type 2 diabetes self-management situation

作　　者：单晶[1] 周智广[2] 

机构地区：[1]浙江医院内分泌科,浙江杭州310013 [2]中南大学湘雅二医院内分泌科,湖南长沙410011

出　　处：《中国现代医生》2014年第4期101-104,共4页China Modern Doctor

基　　金：国家自然科学基金(30831160518)

摘　　要：目的 探讨社区老年2型糖尿病患者自我管理现状并分析其相关因素.方法回顾性分析2012年3月～2013年5月来我院就诊并确诊的262例老年2型糖尿病患者的临床资料,使用一般资料问卷及疾病相关资料问卷、2型糖尿病自我管理水平量表对患者进行调查.结果不同的家庭人均月收入及是否在岗患者在老年2型糖尿病患者中具有统计学意义（P＜0.05）,有无家族史、有无并发症及并发症的数量、是否吸烟、不同的用药途径、不同的病程、是否已接受糖尿病健康教育及不同的糖化血红蛋白情况在糖尿病患者中具有统计学意义（P〈0.05）.老年2型糖尿病患者的药物管理得分最高,而血糖监测的得分最低.无并发症、不吸烟、接受糖尿病健康教育及不在岗的老年2型糖尿病患者与有并发症、吸烟、没有接受糖尿病健康教育及在岗的患者比较自我管理水平明显较高（P＜0.05）.结论老年2型糖尿病患者的自我管理水平处于中等,有待提高,我们为其实施的自我管理健康教育应更具有个性化、系统化,使其疾病相关知识及治疗积极性提高,最终达到提高患者治疗效果的目的.Objective To investigate the community elderly patients with type 2 diabetes self-management situation and analyze its related factors. Methods The clinical data of 262 elderly patients with type 2 diabetes were retrospective analyzed, all of them were selected from March 2012 to May 2013 in our hospital, the patients were surveyed with general information questionnaire and the disease related information, type 2 diabetes self-management level scale. Results There were significant difference between different family per capita income and whether on-the-job in elderly patients with type 2 diabetes patients（P 〈 0.05）, There were significant difference between with or without family history, presence of complications and complications, smoking, different medication way, different course, whether had accepted diabetes health education and different glycosylated hemoglobin in diabetic patients （P〈0.05）. Management of drugs score in the elderly patients with type 2 diabetes was the highest, and blood sugar monitoring score was the low- est. The self management level of No complications, no smoking, diabetes health education and on-the-job of elderly patients with type 2 diabetes were higher than complications, smoking, no in patients with diabetes health education and on-the-job, there were significant difference （P〈0.05）. Conclusion Elderly patients with type 2 diabetes self-management level in the medium, to improve, The self-management health education should be more personalized, systematic, make its disease related knowledge and enthusiasm to improve treatment, finally achieve the goal of improve the effect of treatment in patients with.

关 键 词：2型糖尿病 老年 自我管理 

分 类 号：R587.1[医药卫生—内分泌]