2型糖尿病患者自我效能状况及与血糖控制关系
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摘要
目的了解山东省2型糖尿病患者自我效能状况,分析自我效能与血糖控制的关系,为社区开展以自我效能为基础的赋能教育提供证据支持。方法采用多阶段分层随机抽样方法,于2017年8月——10月,对山东省青岛市、济南市、潍坊市、菏泽市的2 520名2型糖尿病患者进行空腹血糖测试和自我效能状况调查。采用Pearson相关分析和多元线性回归分析自我效能与空腹血糖的关系以及自我效能对空腹血糖值的影响。结果完成调查患者为2 160例,完成率为85.7%;患者自我效能得分为(3.99±0.64)分;患者平均空腹血糖值(FPG)为(8.02±2.79)mmol/L;自我效能与空腹血糖值呈负相关,相关系数(r)为–0.05(P <0.05);在控制性别、年龄、家庭人口等人口经济学特征之后,自我效能与空腹血糖值之间的偏回归系数为–0.28(P <0.05)。结论自我效能的提升有利于患者血糖的控制,未来社区教育应更加注重以提升自我效能为基础的赋能教育。
Objective To examine the status of self-efficacy and to explore association of self-efficacy with glycemic control among type 2 diabetes mellitus(T2DM) patients in Shandong province, China for providing evidences to the implementation of self-efficacy based empowerment education in community T2DM patients. Methods We conducted a questionnaire survey and fasting blood glucose(FBG) measurement among 2 250 urban and rural T2MD patients recruited in four municipalities of Shandong province with stratified multistage random sampling from August to October, 2017. The Chinese Version of Diabetes Empowerment Scale-Short Form(C-DES-SF) was used to measure the patients′ empowerment and FBG detection was used to evaluate glycemic control. Pearson correlation analysis and multivariate linear regressions analysis were used to analyze correlations between the score of patient empowerment and FBG values. Results Totally 2 160 T2DM patients completed the survey and the response rate was 85.7%. For all the participants, the mean score of self-efficacy was 3.99 ± 0.64 and the mean FBG was 8.02 ± 2.79 mmol/L. The score of self-efficacy was reversely correlated with FBG level(r = – 0.05, P < 0.05). Linear regression revealed a significant partial regression coefficent for the correlation between the score of self-efficacy and FBG level(β = – 0.28, P < 0.05) after adjusting for gender, age, and number of family member. Conclusion The promotion of self-efficacy is helpful to glycemic control among T2DM patients and empowerment education should be included as an essential components of diabetes education programs in future among community T2DM patients.
Objective To examine the status of self-efficacy and to explore association of self-efficacy with glycemic control among type 2 diabetes mellitus(T2DM) patients in Shandong province, China for providing evidences to the implementation of self-efficacy based empowerment education in community T2DM patients. Methods We conducted a questionnaire survey and fasting blood glucose(FBG) measurement among 2 250 urban and rural T2MD patients recruited in four municipalities of Shandong province with stratified multistage random sampling from August to October, 2017. The Chinese Version of Diabetes Empowerment Scale-Short Form(C-DES-SF) was used to measure the patients′ empowerment and FBG detection was used to evaluate glycemic control. Pearson correlation analysis and multivariate linear regressions analysis were used to analyze correlations between the score of patient empowerment and FBG values. Results Totally 2 160 T2DM patients completed the survey and the response rate was 85.7%. For all the participants, the mean score of self-efficacy was 3.99 ± 0.64 and the mean FBG was 8.02 ± 2.79 mmol/L. The score of self-efficacy was reversely correlated with FBG level(r = – 0.05, P < 0.05). Linear regression revealed a significant partial regression coefficent for the correlation between the score of self-efficacy and FBG level(β = – 0.28, P < 0.05) after adjusting for gender, age, and number of family member. Conclusion The promotion of self-efficacy is helpful to glycemic control among T2DM patients and empowerment education should be included as an essential components of diabetes education programs in future among community T2DM patients.
引文
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[7]韩扬扬,杜鸿燕.泰安市社区糖尿病病人授权能力的现况及影响因素分析[J].护理研究,2012,26(36):3444-3446.
[8]徐美月,周娟华,林玲萍,等.糖尿病患者授权能力与自护行为的相关性研究[J].解放军护理杂志,2011,28(24):42-44.
[9]周娟华.糖尿病患者授权能力影响因素分析及授权对代谢和自护行为的影响[D].杭州:浙江大学硕士学位论文,2010.
[10]李菲,蔡雪,宋开兰.糖尿病患者自我效能干预的研究进展[J].护理学报,2017,24(5):26-29.
[11]牟利宁,肖凌凤,边苗苗.动机访谈在糖尿病健康教育中的研究进展[J].国际护理学杂志,2012,31(4):589-591.
[12]姜莹莹,毛凡,张惺惺,等.我国六省份以社区为基础的糖尿病患者自我管理小组干预活动的效果评价[J].中国糖尿病杂志,2015(5):400-404.
[2]Fitzgerald M,O'Tuathaigh C,Moran J.Investigation of the relationship between patient empowerment and glycaemic control in patients with type 2 diabetes:a cross-sectional analysis[J].BMJOpen,2015,5(12):e8422.
[3]Yang S,Hsue C,Lou Q.Does patient empowerment predict selfcare behavior and glycosylated hemoglobin in Chinese patients with type 2 diabetes?[J].Diabetes Technology and Therapeutics,2015,17(5):343-348.
[4]Anderson RM,Funnell MM,Fitzgerald JT,et al.The Diabetes Empowerment Scale:a measure of psychosocial self-efficacy[J].Diabetes Care,2000,23(6):739.
[5]胡贝贝.糖尿病授权中文简化量表的修订及初步应用研究[D].杭州:浙江大学硕士学位论文,2010.
[6]D'Souza MS,Karkada SN,Hanrahan NP,et al.Do perceptions of empowerment affect glycemic control and self-care among adults with type 2 diabetes?[J].Global Journal of Health Science,2015,7(5):80-90.
[7]韩扬扬,杜鸿燕.泰安市社区糖尿病病人授权能力的现况及影响因素分析[J].护理研究,2012,26(36):3444-3446.
[8]徐美月,周娟华,林玲萍,等.糖尿病患者授权能力与自护行为的相关性研究[J].解放军护理杂志,2011,28(24):42-44.
[9]周娟华.糖尿病患者授权能力影响因素分析及授权对代谢和自护行为的影响[D].杭州:浙江大学硕士学位论文,2010.
[10]李菲,蔡雪,宋开兰.糖尿病患者自我效能干预的研究进展[J].护理学报,2017,24(5):26-29.
[11]牟利宁,肖凌凤,边苗苗.动机访谈在糖尿病健康教育中的研究进展[J].国际护理学杂志,2012,31(4):589-591.
[12]姜莹莹,毛凡,张惺惺,等.我国六省份以社区为基础的糖尿病患者自我管理小组干预活动的效果评价[J].中国糖尿病杂志,2015(5):400-404.