养老机构糖尿病老年人并发症风险感知现况及影响因素研究  

Current situation and influencing factors of risk perception of older adults with diabetes in elderly care institutions

作　　者：谷奕樊 陈瑶 唐启群 成杰 杨娇 王骞 Gu Yifan;Chen Yao;Tang Qiqun;Cheng Jie;Yang Jiao;Wang Qian(School of Nursing and Rehabilitation,North China University of Technology,Tangshan 063210,China)

机构地区：[1]华北理工大学护理与康复学院,河北唐山063210 [2]华北理工大学附属医院

出　　处：《护理学杂志》2023年第19期105-108,共4页Journal of Nursing Science

基　　金：2022年度河北省社科基金资助项目(HB22RK004)。

摘　　要：目的了解养老机构糖尿病老年人并发症风险感知现况,分析其影响因素,为针对性干预提供参考。方法采用一般资料调查表、糖尿病风险感知量表、广泛性焦虑障碍量表、简版老年抑郁量表对河北省5所养老机构中320例糖尿病老年人进行问卷调查。结果养老机构糖尿病老年人并发症风险感知总分为2.03(1.89,2.24)分,焦虑总得分为6.00(5.00,8.00),抑郁总得分为6.00(4.00,8.00)。多因素分析结果显示,年龄、文化程度、家族史、病程、焦虑和抑郁是养老机构糖尿病老年人风险感知水平的主要影响因素(均P<0.05)。结论养老机构糖尿病老年人并发症风险感知水平总体偏低,应针对性地采取干预措施,提高其并发症风险感知水平,以降低并发症发生率,延缓病情进展。Objective To understand the current situation of complication risk perception of the elderly with diabetes in elderly care institutions,analyze its influencing factors,and to provide references for targeted intervention measures.Methods Convenience sampling method was used to investigate 320 older adults with diabetes aged 60 years and over in 5 elderly care institutions in Hebei Province by using the general information questionnaire,the Diabetes Risk Perception Scale,the Generalized Anxiety Disorder Scale,and the simple version of Geriatric Depression Scale.Results The median total score was 2.03(1.89,2.24)points for perceived risk of complications,6.00(5.00,8.00)points for anxiety,and 6.00(4.00,8.00)points for depression,among older adults with diabetes in nursing facilities.Multivariate analysis showed that age,education level,family history,course of disease,anxiety and depression were main influencing factors of risk perception level of elderly diabetes residents in nursing homes(all P<0.05).Conclusion Older adults with diabetes in elderly care institutions generally have a low level of risk perception of complications.Targeted intervention measures should be taken to improve their risk perception of complications,reduce the incidence rates of complications,and achieve healthy and active aging.

关 键 词：养老机构 老年人 糖尿病 风险感知 并发症 广泛性焦虑障碍 老年抑郁 

分 类 号：R47[医药卫生—护理学] R212.7[医药卫生—临床医学]