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糖尿病患者自我效能的影响因素分析及对策探讨

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目的 探究影响糖尿病患者自我效能感的影响因素,为健康管理制定干预对策提供科学依据.方法 采用横断面研究法,选取郑州大学第一附属医院在2020年7月至2023年4月期间接收的200例糖尿病患者作为本次研究对象,采用慢性病自我效能感量表将其分为效能感差组(68例)和效能感良好组(132例),使用一般资料调查问卷、慢性病自我效能、糖尿病知识调查问卷、糖尿病痛苦量表、社会支持评定量表等调查工具进行分析.结果 两组年龄、疾病认知、痛苦量表、社会支持比较,差异有统计学意义(P<0.05).logistic回归分析结果显示,疾病认知不足、痛苦量表评分高、社会支持度低、高龄为影响糖尿病患者自我效能的独立危险因素(P<0.05).结论 疾病认知不足、痛苦量表评分高、社会支持度低、高龄为影响糖尿病患者自我效能的独立危险因素.护理人员需强化患者疾病相关知识的掌握,调整其心理状态,鼓励其家属给予支持与安慰,密切关注老年患者生命体征变化,以提升糖尿病患者自我效能水平.
Influencing Factors and Countermeasures of Self-efficacy in Diabetic Patients
Objective To explore the influencing factors affecting the self-efficacy of diabetic patients,and to provide scientific basis for health management to formulate intervention strategies.Methods A cross-sectional study was used to select 200 patients with diabetes who were admitted to the First Affiliated Hospital of Zhengzhou University from July 2020 to April 2023 as the subjects of this study,and they were divided into a poor efficacy group(68 cases)and a good efficacy group(132 cases)by using the chronic disease self-efficacy scale.General information questionnaire,chronic disease self-efficacy questionnaire,diabetes knowledge questionnaire,diabetes distress scale,social support rating scale and other survey tools were used to analyze them.Results There were significant differences in age,disease cognition,pain scale and social support between the two groups(P<0.05).Logistic regression analysis showed that lack of disease cognition,high pain scale score,low social support and old age were independent risk factors for diabetic self-efficacy(P<0.05).Conclusion Lack of disease cognition,high pain scale score,low social support and old age are independent risk factors for diabetic self-efficacy.Nursing staff should strengthen the knowledge related to the disease of patients,adjust their psychological state,encourage their families to give support and comfort,and pay close attention to the changes of vital signs of elderly patients,so as to improve the level of self-efficacy of diabetic patients.

diabetesself-efficacyinfluencing factor

付颖颖、王润娟

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郑州大学第一附属医院保健办公室,河南郑州 450000

糖尿病 自我效能 影响因素

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(19)