2型糖尿病急诊患者危险因素管理及影响因素分析  

Risk Factors Management and Influencing Factors Analysis in Patients with Type 2 Diabetes

作　　者：陈妍[1] 林羽[1] 林娟[2] 林丽娜[2] 杨曼华[1] 李红[3] 

机构地区：[1]福建省立医院急救中心,福建福州350001 [2]福建省立医院内分泌科 [3]福建省立医院护理部

出　　处：《解放军护理杂志》2014年第15期5-8,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：卫生部国家重点专科护理建设项目基金(2011);卫生部急诊医学国家临床重点专科建设项目基金(2012)

摘　　要：目的探讨急诊2型糖尿病患者的危险因素管理状况以及其与社会支持、应对方式、健康信念的关系。方法便利抽样选取某医院急诊内科观察病房2型糖尿病患者298人,采用一般资料调查问卷、糖尿病患者行为评价体系量表-危险因素管理分量表、社会支持问卷、糖尿病健康信念问卷对其进行问卷测评,并分析影响因素及相关性。结果 2型糖尿病患者危险因素管理各维度的分值分别为:烟酒控制为(4.50±0.82)分、门诊复查为(4.51±0.23)分、血糖监测为(4.37±0.26)分、血脂监测为(4.10±0.42)分、尿蛋白监测为(4.31±0.51)分、眼底监测为(4.40±0.82)分、足部监测为(4.10±0.56)分。危险因素管理分值与健康信念、积极应对社会支持分值之间呈正相关,与消极应对方式分值之间呈负相关(r=0.329、0.011、0.255、-0.149,均P<0.05)。路径分析显示,健康信念在社会支持、应对方式对危险因素管理的影响中起到不完全中介效应(β=0.434),模型的拟合指数为χ2/df=1.24、P=0.321、RMSEA=0.008、NFI=0.982、RFI=0.969、IFI=0.976、TLI=0.959、CFI=0.952。结论急诊2型糖尿病患者社会支持、应对方式、健康信念之间有相互作用,并影响2型糖尿病患者危险因素管理水平。护士可依据急诊患者的特点,加强对患者有关糖尿病防治知识和必要性的认知教育,以提高个体对危险因素的管理水平。Objective To discuss the risk factors management status of type 2 diabetes patients in emergency observation wards and its relationship with social support,coping style and health belief.Methods By convenience sampling,298 cases were selected and evaluated by a general information questionnaire,development of the behavior change scale,diabetes care profile social support subscale ,diabetes health belief scale and simplified coping style questionnaire, and its influencing factors and correlationship were analyzed.Results The scores of manage risk management of patients were 4.50±0.82 for controlling used cigarette and alcohol,4.51±0.23 for outpatient care,4.37±0.26 for glucose monitoring,4.10±0.42 for lipid level,4.31±0.51 for protein in urine,4.40±0.82 for monitoring ocular fundus,4.10±0.56 for foot care.The scores of manage risk management were positively correlated with the scores of diabetes health belief, social support,positive coping style and negatively correlated with the scores of negative coping style（r 0.329,0.011,0.255, -- 0.149, all P 〈 0.05 ）. The path analysis showed that diabetes health belief mediated partly the relationship between social support,coping style and manage risk management（β=0.434）.The mociei tit indexes of were x2 /df= 1.24, P = 0.3Z 1, RMSEA= 0.008, NFI = 0.982, RFI = 0.969, IFI = 0.976, TLI =0.959,CFI=0.952.Conclusion There was interaction among type 2 diabetes patients＇ health belief,coping style and social support,and affecting the risk factor management level of patients with type 2 diabetes.Nurses can enhance the cognition education of the necessarily and prevention knowledge of diabetes based on the characteristics of emergency patients, in order to improve the individual management level of risk factors.

关 键 词：糖尿病 危险因素管理 急诊患者 影响因素 

分 类 号：R587.1[医药卫生—内分泌]