中国全科医学2013，Vol.16Issue(16)：1862-1864,3.DOI:10.3969/j.issn.1007-9572.2013.06.014
社区糖尿病患者自我管理状况的影响因素研究
Factors Impacting Self-management among Diabetes Patients in Communities
摘要
Abstract
Objective To assess the influencing factors of self - management among diabetes patients in Beijing communities. Methods The questionnaire survey was conducted among 240 patients with diabetes mellitus form three communities of Beijing from July to August 2012. SAS 8. 0 software was used for statistical analysis of the collected data. Results The average score of version of the Problem Areas in Diabetes ( PAID ) was ( 25. 0 ± 17. 8 ), with the median of 21. 5. The average score of summary of diabetes self - care activities ( SDSCA ) was ( 47. 0 ± 15. 4 ), with the median of 48. 0. The average score of self -management education was ( 10. 3 ±4. 7 ), with the median of 10. 0. The difference in education background and average monthly income per capita of a family showed significant in the score of SDSCA ( P <0. 10 ) . The difference in sex and level of glycosylat-ed hemoglobin showed significant in the score of self - management education ( P <0. 10 ) . The analysis model revealed that the worse a patient's control of blood sugar was, the more education on self - management the community medical staff gave to the patient ; and a patient with higher education had a higher capability in self - management. However, the more education on self -management also brought on more metal burden to the patient. The worse a patient's control of blood sugar was, the lower a patient's power in self - management was, and the younger a patient' s age was, the heavier burden the patient had mentally. Furthermore, the lower a patient' s power in self - management was, especially for a male patient, the worse the patient's control of blood sugar. The average monthly income per capita of a family was also a negative factor. The higher a patient's monthly average income per capita was, the lower a patient's power in self- management was, and the worse a patient's control of blood sugar was, the heavier burden the patient had mentally. Conclusion The education background and average monthly income per capita of a family are the impacting factors for self - management power. And the sex and level of glycosylated hemoglobin are the impacting factors for self - management education. The education on self - management offered by the community medical staff not only has problems both quantitatively and qualitatively, but also enhance the patients' metal burden. Therefore," knowledge " itself is far from enough, and the absorbability and operability of knowledge are more important for a patient to really master the knowledge and apply it practically. Otherwise," redundant knowledge" is not only non -effective, but may bring about negative effects to patients.关键词
糖尿病/自我管理/影响因素Key words
Diabetes mellitus/ Self - management/ Influencing factors分类
医药卫生引用本文复制引用
刘薇薇,王媛媛,郝东惠,陈君逸,高妍..社区糖尿病患者自我管理状况的影响因素研究[J].中国全科医学,2013,16(16):1862-1864,3.基金项目
国家自然科学基金资助项目(81150001) （81150001）
