北京市东城区老年糖尿病患者自我管理水平及其影响因素研究  

Study on Self-management Level of Elderly Diabetic Mellitus Patients in Dongcheng District of Beijing and Its Influencing Factors

作　　者：杨予青 陈荃[1] 何琪乐 张瑾瑶 吴卓存 万艳丽[1] YANG Yuqing;CHEN Quan;HE Qile;ZHANG Jinyao;WU Zhuocun;WAN Yanli(Institute of Medical Information,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100020,China)

机构地区：[1]中国医学科学院/北京协和医学院医学信息研究所,北京100020

出　　处：《医学信息学杂志》2024年第1期59-63,88,共6页Journal of Medical Informatics

基　　金：中国医学科学院医学与健康科技创新工程经费资助项目(项目编号:2022-I2M-1-019)。

摘　　要：目的/意义了解北京市东城区老年糖尿病患者的糖尿病自我管理水平现状及其影响因素,为进一步开展社区糖尿病健康教育和健康管理提供参考。方法/过程采用自制问卷和糖尿病自我管理活动量表调查随机抽取的北京市东城区社区卫生服务机构内1 962例老年2型糖尿病患者,利用多元逐步回归和logistic回归分析患者自我管理水平的影响因素。结果/结论患者的自我管理水平受多种因素影响,其中疾病相关知识知晓程度、医疗保障形式和是否使用健康相关软件管理慢性病是主要的影响因素(P<0.05),管理部门可采取针对性的健康干预措施,进一步提高老年糖尿病患者的自我管理能力。Purpose/Significance To investigate the status quo and influencing factors of self-management level of elderly diabetic mellitus patients in Dongcheng District of Beijing,and to provide references for further development of community diabetes health education and health management.Method/Process The survey is conducted on 1962 cases of elderly patients with type 2 diabetes mellitus who are randomly selected from community-level health service institutions in Dongcheng District of Beijing and are investigated by self-made questionnaires and the summary of diabetes self-care activities.Multiple stepwise regression and logistic regression are used to analyze the influencing factors of patients’self-management level.Result/Conclusion The self-management level of elderly diabetic mellitus patients is affected by many factors,among which the awareness of disease-related knowledge,the form of medical security and the use of health-related software to manage chronic diseases are the main influencing factors(P<0.05).Local management departments can take targeted health interventions to further improve the self-management ability of elderly diabetic mellitus patients.

关 键 词：2型糖尿病 自我管理 影响因素 

分 类 号：R-058[医药卫生]