首页|社区慢性病管理模式下2型糖尿病患者自我管理能力调查分析

社区慢性病管理模式下2型糖尿病患者自我管理能力调查分析

扫码查看
目的:了解社区慢性病管理模式下2型糖尿病患者自我管理能力状况及影响因素,为进一步探讨自我管理行为干预模式提供参考依据.方法:采用方便抽样法选取合肥市2所社区卫生服务中心164例2型糖尿病患者为调查对象,采用自行编制的调查问卷开展面对面访谈式调查,问卷内容包括患者基本情况、自我管理行为状况和自我授权能力状况.结果:调查对象自我管理行为总分为(44.85±9.01)分,各维度得分由高到低分别为用药管理(5.48±1.58)分、饮食管理(4.83±0.96)分、运动管理(4.66±1.85)分、足部管理(2.88±1.13)分和血糖监测(2.49±1.51)分.单因素和多因素分析显示,患者与配偶居住、签约家庭医生以及自我授权能力处于中高水平,其自我管理能力得分越高(P<0.05).结论:通过加强家庭医生签约服务质量等措施探讨更为有效的社区慢性病管理模式,可进一步帮助2型糖尿病患者提升自我管理能力,促进健康状况改善.
Survey on the self-management ability in type 2 diabetes patients under community chronic disease management mode
Objective:To understand the self-management ability and related influencing factors in type 2 diabetes patients under community chronic disease management mode,so as to provide reference for further exploring the intervention model for self-management behavior.Methods:One hundred and sixty-four type 2 diabetes patients were recruited from two community health service centers in Hefei by convenient sampling method,and were face-to-face surveyed with a self-designed questionnaire that consisted of patients'basic information,self-management behavior and self-empowerment ability.Results:The total score of self-management behavior was(44.85±9.01).Scoring on each component from high to low were medication management(5.48±1.58),diet management(4.83±0.96),exercise management(4.66±1.85),foot management(2.88±1.13)and blood glucose monitoring(2.49±1.51).Univariate and multivariate analysis showed that the patients living with their spouse,having a family doctor and scoring high in self-empowerment ability,had higher level of self-management ability(P<0.05).Conclusion:More effective community chronic disease management mode can be explored through measures such as improving the quality of contract service with the family doctor,so as to further help type 2 diabetes patients improve their self-management ability and promote health improvement.

chronic disease managementdiabetes patientself-management abilityself-empowerment ability

纪艳、蒋骏、张子强

展开 >

安徽医学高等专科学校 公共卫生与健康管理学院,安徽 合肥 230061

苏州市相城区中医医院 预防保健科,江苏苏州 215100

慢性病管理 糖尿病患者 自我管理能力 自我授权能力

安徽省高等学校自然科学研究重点项目青年骨干教师境内访学研究项目

KJ2020A0855JNFX2023103

2024

皖南医学院学报
皖南医学院

皖南医学院学报

CSTPCD
影响因子:0.695
ISSN:1002-0217
年,卷(期):2024.43(2)