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作 者:邢树平 范艳 车志伟 陈思雨 张茛 程思嘉 蒋新军 XING Shuping;FAN Yan;CHE Zhiwei;CHEN Siyu;ZHANG Gen;CHENG Sijia;JAING Xinjun(Hainan Medical College,Haikou,571199,China)
出 处:《护理实践与研究》2022年第11期1606-1610,共5页Nursing Practice and Research
基 金:海南省自然科学基金项目(编号:820RC631);海南省高等学校科学研究项目(编号:Hnky2020-36);海南省科协青年科技英才创新计划项目(编号:QCXM202019);海南省卫生健康行业科研项目(编号:20A200286);2021学年大学生创新创业训练计划项目(编号:X202111810046)。
摘 要:目的探讨2型糖尿病患者自我管理教育参与意愿、病耻感现状及二者之间的相关性。方法采用自设的自我管理教育参与意愿问卷和中文版2型糖尿病病耻感评估量表对2020年8月—2021年3月在海口市三所三甲医院就诊的T2DM患者进行调查。结果T2DM患者自我管理教育参与意愿得分均分为2.95±0.85分,病耻感总分为41.74±12.57分,患者自我管理教育参与意愿与病耻感总分及区别对待维度均呈负相关,但相关性弱(r=-0.105;r=-0.125)。多元线性逐步回归分析结果显示文化程度及区别对待是T2DM患者自我管理教育参与意愿的影响因素(P<0.05)。结论T2DM患者自我管理教育参与意愿和病耻感均处于较低水平,二者呈非常弱的负相关,文化程度及区别对待是自我管理教育参与意愿的独立影响因素,应制定措施减轻患者的病耻感水平,改善患者的自我管理教育参与意愿,以促进患者自我管理能力的提高。Objective To investigate the status of self-management education participation willingness,stigma and the correlation between T2DM patients.Methods T2DM patients who visited 3 GradeⅢhospitals in Haikou from August 2020to March 2021 were investigated by using the self-designed questionnaire of willingness of participate in self-management education and the Chinese version of the Type 2 Diabetes Stigma Assessment Scale.Results The total score of T2DM patients’willingness of participate in self-management education was 2.95±0.85 points,and the total score of stigma was 41.74±12.57 points.There was a negative correlation between the willingness to participate in self-management education and the total score of stigma and different treatment dimensions,but the correlation was weak(r=-0.105;R=0.125).The results of multiple linear stepwise regression analysis showed that,educational level and discrimination were the infl uencing factors of T2DM patients’willingness of participate in self-management education(P<0.05).Conclusion Patients with T2DM self-management education participation willingness and stigma were relatively low,the negative correlation was very weak,culture degree and the distinction between self-management education was involved in the willing of the independent factors,measures should be formulated to reduce the patients’level of illness shame,improving patients’self-management education to participate,improve patients’self-management ability.
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