健康生态学理论下老年T2DM合并慢性并发症患者健康管理行为现状调查及影响因素分析  

Status quo investigation of health management behaviors in elderly patients with T2DM complicating chronic complications under health ecology theory and influencing factors analysis

作　　者：任旅萍 孙晓[3] 陈婷婷[4] 周荣荣 王雪 邓玮 张培培[8] REN Lyuping;SUN Xiao;CHEN Tingting;ZHOU Rongrong;WANG Xue;DENG Wei;ZHANG Peipei(School of Medicine,Tongji University,Shanghai 200092,China;Department of Endocrinology,Nanxiang Hospital of Jiading District,Shanghai 201802,China;Department of Nursing,Affiliated Shanghai Municipal Fourth People’s Hospital,Tongji University,Shanghai 200434,China;Operating Room,Affiliated Tenth People’s Hospital,Tongji University,Shanghai 200072,China;Department of Geriatrics,Affiliated Shanghai Municipal Fourth People’s Hospital,Tongji University,Shanghai 200434,China;Department of Traditional Chinese Medicine,Affiliated Tenth People’s Hospital,Tongji University,Shanghai 200072,China;Department of Gastrointestinal Surgery,Affiliated Tenth People’s Hospital,Tongji University,Shanghai 200072,China;Department of Traditional Chinese Medicine,Shanghai Yangzhi Rehabilitation Hospital,Tongji University,Shanghai 201613,China)

机构地区：[1]同济大学医学院,上海200092 [2]上海市嘉定区南翔医院内分泌科,上海201802 [3]同济大学附属上海市第四人民医院护理部,上海200434 [4]同济大学附属第十人民医院手术室,上海200072 [5]同济大学附属上海市第四人民医院老年科,上海200434 [6]同济大学附属第十人民医院中医科,上海200072 [7]同济大学附属第十人民医院胃肠外科,上海200072 [8]同济大学附属上海养志康复医院中医科,上海201613

出　　处：《重庆医学》2025年第1期195-201,共7页Chongqing Medical Journal

基　　金：国家自然科学基金项目(72104181)。

摘　　要：目的基于健康生态学理论研究老年2型糖尿病(T2DM)合并慢性并发症患者健康管理行为现状及影响因素。方法采用便利抽样法,选取2022年1-7月上海市的老年T2DM合并慢性并发症患者作为调查对象。基于健康生态学理论,对老年T2DM合并慢性并发症患者个性特质、心理行为特质、家庭社区人际网络、生活和工作条件、政策环境5个层面进行调查。采用Pearson相关系数对各个变量进行相关性分析;采用阶层线性回归分析老年T2DM合并慢性并发症患者健康管理行为的影响因素。结果共发放问卷272份,回收有效问卷264份,问卷有效回收率为97.06%。不同慢性并发症数、睡眠质量、体育锻炼情况、家庭人均月收入、医疗支付方式的DSMB-O评分比较,差异有统计学意义(P<0.05)。老年T2DM合并慢性并发症患者DSMB-O得分与HLSCP、DES、PACIC、CIRS得分呈正相关(P<0.05),与PAID-5得分呈负相关(P<0.05)。结论老年T2DM合并慢性并发症患者的健康管理行为受诸多因素的共同影响与作用,需从不同方面、不同层级来识别和管理相关影响因素。Objective To investigate the status quo of health management behaviors in elderly patients with type 2 diabetes mellitus(T2DM)complicating chronic complications and the influencing factors based on health ecology theory.Methods The convenience sampling method was used to select elderly patients with T2DM complicating chronic complications in the Shanghai City from January to July 2022 as the respondents.Based on the health ecology theory,the five aspects of personality traits,psychological and behavioral traits,family and community interpersonal networks,living and working conditions and policy environment were investigated.The Pearson correlation coefficient was used to analyze the correlation of various variables.The hierarchical linear regression was used to analyze the influencing factors of health management behaviors in elderly patients with T2DM complicating chronic complications.Results A total of 272 questionnaires were distributed and 264 valid questionnaires were recovered,with an effective recovery rate of 97.06%(264/272).There were statistically significant differences in DSMB-O scores among the patients with different chronic complications number,sleep quality,per capita monthly household income and medical payment methods(P<0.05).The DSMB-O score in elderly patients with T2DM complicating chronic complications was positively correlated with HLSCP,DES,PACIC and CIRS scores(P<0.05),and negatively correlated with the PAID-5 score(P<0.05).Conclusion The health management behaviors of elderly patients with T2DM complicating chronic complications is jointly affected and acted by many factors,and it is necessary to identify and manage the related influencing factors from different aspects and different levels.

关 键 词：2型糖尿病 老年 慢性并发症 健康生态学模型 

分 类 号：R587[医药卫生—内分泌]