摘要
目的了解糖尿病患者自我管理现状及影响因素。方法使用经汉化、调适具有较好信效度糖尿病自我管理问卷(DSMQ),及以健康信念模式为框架自行设计影响因素问卷,对糖尿病患者进行问卷调查。结果自我管理各维度得分饮食控制(2.04±0.59);随诊(2.00±0.46);血糖监测(1.71±0.77);遵医用药(2.35±0.57);体育锻炼(1.83±0.66)。性别、婚姻状况、医疗费用支付方式、并发症、感知益处、感知障碍、家庭人均月收入、病程影响自我管理行为,解释总变异48.3%。结论糖尿病患者自我管理行为不容乐观,遵医用药最好,血糖监测最差,性别、婚姻状况、感知益处等是重要影响因素。
Objective To understand the self-management status and influencing factors of diabetic patients.Methods The self-management questionnaire of diabetes(DSMQ) and the self-designed influencing factors questionnaire based on the model of health belief were used to investigate the diabetic.Results The scores of self-management were alimentary control(2.04±0.59),follow up(2.00±0.46),blood glucose monitoring(1.71±0.77),medication compliance(2.35±0.57),and physical exercise(1.83±0.66),respectively.Sex,marital status,method of payment for medical expenses complications,perceived benefits,perceived disorders,family per capita monthly income,and course of disease affected self-management behavior,which could explain 48.3% of the total variation.Conclusion The self-management behavior of diabetic patients is not optimistic,among which the best drug compliance,the worst blood glucose monitoring,gender,marital status,perceived benefits are important factors.
引文
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