郑森爽 1成娟 1王媛 1董燕敏 2李媛媛 3芦文丽1
作者信息
- 1. 300070天津市,天津医科大学公共卫生学院流行病与卫生统计学系
- 2. 300020 天津市社区卫生协会
- 3. 300222 天津市,天津医学高等专科学校
- 折叠
摘要
Abstract
Objective To explore the relationship among cognitive level,self-management behavior and self-health cognition of diabetics in community,and to provide support for the improvement of health management of diabetes.Methods Using stratified cluster sampling,a total of 1 310 diabetics from 16 community health service centers or hospitals in Tianjin were selected from July to December in 2014 to investigate their demographic data,self-management situation of diabetes (healthy diet lifestyle,physical exercise,self-monitoring frequency of blood glucose,medication),medication and treatment satisfaction score,diabetes knowledge score,VAS score and symptom score.The structural equation model was used to analyze the relationship among diabetics' financial capacity,cognitive level of diabetes,daily self-management behavior and self-evaluation of health status.Results Excluding diabetics with incomplete investigation information,a total of 1 038 diabetics were included in this study.The results of structural equation model showed that there was a positive relationship between education level (β =0.067,P =0.038),household per capita monthly income (β =0.083,P =0.012) and diabetes knowledge score.A positive relationship was found between diabetes knowledge score and healthy diet lifestyle (β =0.079,P =0.011) as well as self-monitoring frequency of blood glucose (β =0.098,P =0.002).A positive relationship was found between healthy diet lifestyle and medication and treatment satisfaction score (β =0.187,P ＜0.001) as well as VAS score (β =0.065,P =0.038),while a negative relationship was found between healthy diet lifestyle and symptom scores (β =-0.099,P =0.001).Self-monitoring frequency of blood glucose was significantly negatively related to medication and treatment satisfaction score (β=-0.144,P ＜0.001) and VAS score (β =-0.067,P =0.032),but there was a positive relationship between self-monitoring frequency of blood glucose and symptom score (β =0.143,P ＜ 0.001).A positive relationship was found between household per capita monthly income and education level (β =0.370,P ＜ 0.001).Symptom score was significantly negatively related to VAS score (β =-0.270,P ＜ 0.001).A positive relationship was found between medication and treatment satisfaction score and VAS score (β =0.187,P ＜ 0.001),while a negative relationship was found between medication and treatment satisfaction score and symptom scores (β =-0.207,P ＜ 0.001).The result of model test of fit goodness was acceptable [x2 =206.419,df =38,P ＜ 0.001;GFI =0.971,AGFI =0.921;RMSEA =0.065,90％ CI (0.051,0.074)].Conclusion The higher level of cognitive level of diabetes,the higher attention diabetics pay to healthy diet lifestyle and self-monitoring of blood glucose in community.Paying attention to daily self-management behavior is helpful to improve patients' self-health awareness and alleviate the symptoms of diabetes,while excessive medical behavior may enhance patients' attention of diabetes symptoms and reduce their subjective satisfaction.关键词
糖尿病/社区卫生服务/模型,结构/自我管理Key words
Diabetes mellitus/Community health services/Models, structural/Self management分类
医药卫生
