昆明两社区医院Ⅱ型糖尿病患者的健康素养管理测评  

Evaluation of Health Literacy Management Among Type Ⅱ Diabetes Patients in Two Community Hospitals in Kunming

作　　者：张建萍 吕逸骁 周馨[3] 苏真芳[4] 张秀梅[5] 蔡国喜[6] ZHANG Jianping;LU Yixiao;ZHOU Xin;SU Zhenfang;ZHANG Xiumei;CAI Guoxi(Dept.of the Child-adolescent and Maternal Care,School of Public Health,Kunming Medical University,Kunming Yunnan 650500,China;Dept.of Health Care,Nagasaki University,Nagasaki 852-8102,Japan;Dept.of the Urology,The 3rd Affiliate Hospital,Kunming Medical University,Kunming Yunnan 650118;Dept.of the Reproductive Medicine and Genetics,The 1st Affiliate Hospital,Kunming Medical University,Kunming Yunnan 650032;Dept.of The Endocrinology,The 1st affiliate hospital,Kunming Medical University,Kunming Yunnan 650032,China;Center for Disease Control and Prevention,Nagasaki University,Japan Nagasaki 852-8102,Japan)

机构地区：[1]昆明医科大学公共卫生学院儿少与妇幼保健系,云南昆明650500 [2]日本长崎大学医学保健部,日本长崎852-8102 [3]昆明医科大学第三附属医院泌尿科,云南昆明650118 [4]昆明医科大学第一附属医院生殖遗传科,云南昆明650032 [5]昆明医科大学第一附属医院内分泌科,云南昆明650032 [6]日本长崎大学疾病预防与控制中心,日本长崎852-8102

出　　处：《昆明医科大学学报》2022年第8期87-92,共6页Journal of Kunming Medical University

基　　金：美国贾氏学者基金资助项目(42011008)。

摘　　要：目的探讨Ⅱ型糖尿病患者的健康素养管理及相关影响因素,为昆明社区医院糖尿病住院患者提高健康素养管理水平提供依据。方法采用方便抽样方法选择昆明市呈贡两社区医院185名Ⅱ型糖尿病住院患者作为样本,运用糖尿病基本知识问卷、健康素养管理(HeLMS)量表和患者健康问卷-9(PHQ-9)对目标人群进行测评。结果糖尿病患者在健康素养管理(HeMLS)4个维度总得分中发现经济支持的愿望得分比其他3个维度总分值低了30分(P<0.05)。其中,糖尿病患病时间高于10 a的男性患者,糖尿病知识得分较低;健康素养水平越高,收入越高,能长期坚持运动锻炼的患者,糖尿病知识得分较高(P<0.05)。结论性别、文化程度、低收入、糖尿病患病时间和是否坚持运动,是影响患者掌握糖尿病基本知识得分高低的影响因素,对该情形社区医院应加大力度进行有效的干预。Objective To explore the health literacy management and related influencing factors of type-Ⅱdiabetes mellitus patients and thus provide a basis for improving the health literacy management of diabetic inpatients in community hospitals in Kunming.Methods The convenience sampling method was used to select 185 inpatients with type-Ⅱdiabetes mellitus from two community hospitals in Chenggong,Kunming.The self-designed diabetes basic knowledge questionnaire,health literacy management scale(HeLMS),and patient health questionnaire-9(PHQ-9)were used in this study.Results In the four dimensions of HeMLS,the scores of desire for financial support was 30 points lower than the total scores of other three dimensions for diabetic patients(P<0.05),which indicates a strong desire for financial support in diabetic patients.Gender,education level,monthly income,duration of diabetes and physical exercise were the influencing factors for patient’s basic knowledge of diabetes score(P<0.05).The patients with low-income and long-term adherence to exercise are positively related to adequate basic knowledge of diabetes and the ability to manage health literacy.Conclusion The health literacy of knowledge score influence factors including gender,education level,low income,long-term diabetes and adherence to exercise.They are the main obstacles in improving health literacy management.In response to this situation,community hospitals should make efforts for effective intervention.

关 键 词：Ⅱ型糖尿病患者 社区医院 健康素养管理 测评 

分 类 号：R193[医药卫生—卫生事业管理]