反复住院2型糖尿病患者健康素养现状及影响因素分析  

Analysis of health literacy status and its influencing factors of repeatedly hospitalized patients with type 2 diabetes mellitus

作　　者：于成丽 肖凌凤 王萍萍 李宗云 王洁[3] YU Cheng-li;XIAO Ling-feng;WANG Ping-ping;LI Zong-yun;WANG Jie(School of Nursing,Shandong First Medical University&Shandong Academy of Medical Science,Taian,Shandong 271016,China;不详)

机构地区：[1]山东第一医科大学(山东省医学科学院)护理学院,泰安271016 [2]山东第一医科大学附属中心医院 [3]潍坊医学院护理学院

出　　处：《现代预防医学》2021年第7期1335-1339,共5页Modern Preventive Medicine

摘　　要：目的通过调查分析反复住院2型糖尿病患者的健康素养现状及影响因素,为糖尿病的防治提供参考。方法采用便利抽样法,于2020年6-10月对某市3所313例住院糖尿病患者采用一般资料调查表、慢性病病人健康素养量表、糖尿病授权简化量表、糖尿病自我管理简化量表进行问卷调查。一般资料采用t检验和方差分析,影响因素分析采用多元线性回归。结果糖尿病患者的健康素养得分为(93.91±9.08)分,健康素养的具备率为31.95%。结果显示,文化程度(β=0.258,t=3.652,P<0.001)、授权(β=0.233,t=4.547,P<0.001)、户籍(β=0.211,t=3.167,P=0.002)、住院次数(β=-0.167,t=-2.813,P=0.005)、年龄(β=-0.336,t=-6.571,P<0.001)、经济负担(β=-0.175,t=-2.651,P=0.008)以及自我管理能力(β=0.153,t=2.936,P=0.004)对反复住院患者的健康素养产生影响。结论反复住院的2型糖尿病患者的健康素养低下,卫生保健人员需要根据患者的不同情况制定个体化干预,大力开展糖尿病专科教育和科普活动,提高T2DM患者的健康素养,降低住院率。Objective To investigate and analyze the health literacy status and influencing factors of repeatedly hospitalized patients with T2 DM, so as to provide reference for the prevention and treatment of diabetes. Methods Using convenience sampling method, 313 hospitalized patients with diabetes mellitus from 3 hospitals in a city were investigated with general information questionnaire, chronic disease health literacy scale, diabetes empowerment simplified scale and diabetes self-management simplified scale from June to October 2020. The general data were analyzed by t-test and anova, and the influencing factors were analyzed by multiple linear regression. Results The score of health literacy of diabetic patients was(93.91± 9.08), and the rate of health literacy was 31.95%. Regression analysis showed that educational level(β=0.258, t=3.652, P<0.001), empowerment(β=0.233, t=4.547, P<0.001), registered residence(β=0.211, t=3.167, P=0.002), number of hospitalization(β=-0.167, t=-2.813,P=0.005), age(β=-0.336, t=-6.571, P<0.001), economic burden(β=-0.175,t=-2.651, P=0.008) and self-management ability(β=0.153, t=2.936, P=0.004) had an impact on the health literacy of repeated hospitalized patients. Conclusion The health literacy of repeated hospitalized patients with T2 DM is low. Health care personnel need to develop individualized intervention according to different conditions of patients, vigorously carry out diabetes education and popular science activities, improve the health literacy of patients with T2 DM, and reduce the hospitalization rate.

关 键 词：反复住院 糖尿病 健康素养 

分 类 号：R587.1[医药卫生—内分泌]