老年糖尿病患者家庭治疗方案执行情况调查及影响因素分析  

Investigation and influence factors analysis of the family therapy imple-mentation in elderly patients with diabetes

作　　者：曹学云[1] 李丽[1] 陈冬玲[1] 齐静[1] 

机构地区：[1]南阳理工学院,河南南阳473000

出　　处：《中国现代医生》2016年第23期114-117,121,共5页China Modern Doctor

基　　金：河南省科技发展计划(142102310468)

摘　　要：目的了解社区老年糖尿病患者家庭治疗方案执行情况,为社区护理工作制定针对性的干预措施提供指导。方法选择七个社区符合条件患者进行横断面调查,研究工具主要为自行设计的糖尿病患者家庭治疗方案执行情况调查表和Morisky服药依从性量表。结果本次调查共发放问卷365份,其中有效问卷358份,有效回收率为98.1%,饮食治疗执行情况不佳,有87%研究对象不了解或不太了解自己的饮食结构;92%研究对象不清楚该如何分配主食;运动方面,只有17%能坚持每天进行锻炼,另外83%偶尔锻炼或不锻炼;82%不了解或不太了解运动对糖尿病患者的作用;药物治疗的依从性较低,达到依从性佳的人只占45.53%;自我监测方面执行较差,79%不了解或不太了解血糖监测频率,最近一次自行监测的血糖平均值为(13.64±1.97)mmol/L。与血糖值相关的因素主要有性别、年龄、职业、婚姻状况、患病年限、文化程度、家族史、饮食结构、是否进行锻炼、用药依从性,而BMI、锻炼方式与血糖值无关。结论社区内老年糖尿病患者饮食治疗、运动锻炼、药物治疗和自我监测四个方面执行情况较差,要求社区护理人员加强糖尿病知识教育,提高患者家庭治疗方案执行情况。Objective To investigate the family treatment for the implementation of community elderly patients with di- abetes, targeted for community nursing intervention measures to provide guidance. Methods Selected seven eligible pa- tients in community to cross-sectional survey, research tools were mainly designed questionnaire ofihe implementation of family treatment with the diabetic patients and Morisky medication adherence scale. Results The survey of 365 questionnaires were issued, 358 valid questionnaires, effective recovery rate was 98.1%, the diet treatment performance was poorer, 87% of the subjects did not understand or do not know much about diet structure; 92% of the research ob- jects did not clear how to assign staple food; only 17% of the people exercised every day, another 83% occasionally exercised; With 82% of people did＇t knew or didn＇t really understand the role of sport in patients with diabetes; Medi- cation adherence was low, to achieve better adherence only 45.53%; Self monitoring of poor execution, 79% did not knew or did not knew much about the blood sugar monitoring frequency, monitoring by a recent average blood sugar was（13.64_＋l.97）mmol/L. The major factors of blood sugar levels were related to gender, age, occupation, marital status, family history of illness age, cultural degree, family history, diet, exercise, medication adherence, and BMI, exercise way had nothing to do with blood sugar levels. Conclusion The diet therapy, exercise, medication and self-monitoring execution is poorer in elderly patients with diabetes, nursing staff should strengthen the education of diabetic knowl- edge, improve the patients~ family treatment implementation.

关 键 词：糖尿病 家庭治疗 影响因素 依从性 

分 类 号：R587.1[医药卫生—内分泌]