老年2型糖尿病患者自我超越现状及影响因素分析  

Current situation and influencing factors of the self-transcendence among the elderly patients with type 2 diabetes

作　　者：张红[1] 孙建萍[2] 张晶[3] 牛桂芳[2] 杨支兰[2] 陈勇[4] 田蕊[4] 

机构地区：[1]山西医科大学护理学院,太原030001 [2]山西中医学院护理学院,太原030024 [3]重庆三峡医药高等专科学校护理系,402120 [4]山西中医学院中西医结合医院,太原030013

出　　处：《中华现代护理杂志》2015年第25期2996-3000,共5页Chinese Journal of Modern Nursing

基　　金：山西省科技厅科学技术发展计划基金资助项目（201303130234）.

摘　　要：目的：对老年2型糖尿病患者自我超越进行调查,并分析影响老年2型糖尿病患者自我超越的因素。方法采用便利抽样法于2014年8—10月对太原市社区211位老年2型糖尿病患者进行随机问卷调查,以了解其自我超越现状及影响因素。结果211名社区老年2型糖尿病患者自我超越总分为（41.03±4.64）分。调查显示婚姻状况、文化程度、退休前职业、月收入情况、居住情况、性格特点、参加集体活动情况、半年内有无重大事件发生、糖尿病病程、合并慢性病情况、并发症情况、健康状况是老年2型糖尿病患者自我超越的影响因素,进一步经多元线性逐步回归分析结果显示：文化程度、居住情况、是否经常参加集体活动、月收入情况、患病病程为主要影响因素,差异有统计学意义（ R=0.529,R^2=0.280,F=13.191,P〈0.01）。结论通过对老年2型糖尿病患者自我超越水平的关注,为今后采取积极的干预措施提供理论依据,最终使其敢于面对生活中负性事件,调整生活状态,树立积极向上的人生观,不断超越自我、走向成熟,以最终实现群体健康老龄化和积极老龄化。Objective To investigate the self-transcendence of the elderly patients with type 2 diabetes,and analyze the influencing factors. Methods A convenient sample design was used and a random questionnaire survey was conducted among 211 community elderly patients with type 2 diabetes for the current situation and influencing factors of self-transcendence in Taiyuan, from August to October 2014. Results The total score of self-transcendence was （41. 03 ± 4. 64）. The surveys showed that the influencing factors of elderly patients′self-transcendence level were marital status, education level, occupation before retirement, monthly income, living conditions, personality characteristics, participation in collective activities, a significant event in half year or not, diabetes process, combined chronic diseases conditions, situation of diabetes complications and health. Further Multiple linear stepwise regression analysis showed that education level, living conditions, participation in collective activities, monthly income, diabetes duration were the main influencing factors （ R=0. 529,R^2 =0. 280,F=13. 191;P〈0. 01）. Conclusions Through the concern of the self-transcendence of the elderly patients with type 2 diabetes, it provides the theoretical basis for future intervention measures, and finally makes the elderly patients with types 2 diabetes who dare to face the negative events in their lives, adjust the state of life, set up the positive outlook on life, continuously surpass ourselves to mature, so as to finally achieves groups of healthy aging and active aging.

关 键 词：老年人 糖尿病 2型 自我超越 影响因素 

分 类 号：R587.1[医药卫生—内分泌]