首页|糖尿病视网膜病变患者健康促进行为影响因素分析

糖尿病视网膜病变患者健康促进行为影响因素分析

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目的 分析影响糖尿病视网膜病变(DR)患者健康促进行为的危险因素.方法 回顾性选取 2022 年 1 月~2024 年 1 月淮安市第二人民医院收治的DR患者 122 例,使用一般资料调查表、糖尿病患者健康促进量表(T2DHPS)、领悟社会支持量表及简易应对方式问卷对患者进行问卷调查.使用单因素分析不同人口学特征患者的健康促进行为水平差异.使用Pearson相关性分析分析患者的健康促进行为、领悟社会支持及积极应对方式间的相关性.使用多元线性回归分析影响患者健康促进行为的影响因素.结果 DR患者的T2DHPS得分为(85.26±7.28)分,各维度条目均分最低的 3 个维度由低到高依次为健康责任行为、健康饮食行为及运动行为.单因素分析结果显示,不同年龄、糖尿病病程、文化程度、家庭人均月收入、病变眼数的DR患者的T2DHPS得分差异具有统计学意义(P<0.05).Pearson相关性分析结果显示,领悟社会支持及积极应对方式均与健康促进行为呈正相关(r=0.481、0.518,P<0.05).多元线性回归分析结果显示,年龄、糖尿病病程、文化程度、家庭人均月收入、病变眼数、领悟社会支持及积极应对方式均为DR患者的健康促进行为的影响因素(t=-3.406、3.142、2.035、3.162、-4.047、3.379、3.499,P<0.05).结论 DR患者的健康促进行为水平处于中等偏下的水平,领悟社会支持及积极应对方式与健康促进行为水平密切相关,高龄、病程较短、文化程度较低、家庭人均月收入较低及病变眼数为双眼的DR患者的健康促进行为水平可能更低,临床可针对上述患者进行针对性的干预措施,以改善患者的健康促进行为.
Analysis of influencing factors for health promotion behaviors in patients with diabetic retinopathy
Objective To analyze the influencing factors affecting health promotion behavior of diabetic retinopathy(DR)patients.Methods Retrospectively selected 122 DR patients admitted to the Second People's Hospital of Huai'an City from January 2022 to January 2024.Questionnaires were administered to the patients using the General Information Questionnaire,the Health Promotion Scale for Diabetic Patients(T2DHPS),the Collaborative Social Support Scale,and the Brief Coping Style Questionnaire.Univariate analysis was used to analyze the differences in the levels of health promotion behaviors among patients with different demographic characteristics.Pearson correlation analysis was used to analyze the correlation between patients'health promotion behaviors,perceptions of social support,and positive coping styles.Multiple linear regression was used to analyze the factors influencing patients'health promotion behaviors.Results The T2DHPS score of DR patients was(85.26±7.28).The results of univariate analysis showed statistically significant differences in T2DHPS scores among DR patients with different age,duration of diabetes,literacy level,per capita monthly household income,and number of diseased eyes(P<0.05).The results of Pearson's correlation analysis showed that both perceived social support and positive coping styles were positively correlated with health promotion behaviors(r=0.481,0.518,P<0.05).The results of multiple linear regression analysis showed that age,duration of diabetes,literacy level,per capita monthly household income,number of eyes with lesions,the level of social support,and positive coping styles were all influential factors for health promotion behaviors of DR patients(t=-3.406,3.142,2.035,3.162,-4.047,3.379,3.499,P<0.05).Conclusion The level of health promotion behaviors of DR patients was in the middle to lower level.Perceived social support and positive coping styles are closely related to the level of health-promoting behaviors,and the level of health promotion behaviors of DR patients with advanced age,shorter duration of diabetes,lower literacy level,lower per capita monthly family income,and bilateral eye involvement may be even lower,and the clinic can carry out targeted interventions for the aforementioned patients to improve their health promotion behaviors.

Diabetic retinopathyHealth promotion behaviorInfluencing factors

沈阳、严晓腾、罗书引、张璐、葛菲

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223000 淮安市第二人民医院(徐州医科大学附属淮安医院)手术室

223000 淮安市第二人民医院(徐州医科大学附属淮安医院)眼科

糖尿病视网膜病变 健康促进行为 影响因素

徐州医科大学附属医院发展基金资助项目

XYFY202244

2024

中华保健医学杂志
中国人民解放军总后勤部卫生部保健局

中华保健医学杂志

CSTPCD
影响因子:0.477
ISSN:1674-3245
年,卷(期):2024.26(5)