Objective To investigate the current status of the sense of personal mastery and health-promo-ting behaviors in elderly patients with type 2 diabetes mellitus(T2DM),and analyze the correlation between them,so as to provide a scientific basis for formulating relevant health management intervention strategies.Methods From December 2023 to April 2024,163 elderly T2DM patients who visited a grade A tertiary hospi-tal in Nanning,Guangxi Zhuang Autonomous Region were selected as the research objects by convenience sam-pling.A general information questionnaire,the Sense of Personal Mastery Scale,and the Health-promoting Scale for Type 2 Diabetes Mellitus Patients were used to conduct the survey.Results Among the 163 elderly T2DM patients,the total mean score of the Sense of Personal Mastery Scale was(3.23±0.42)points,indica-ting that the sense of personal mastery was at a relatively low-middle level.The total mean score of the Health Promotion Scale for T2DM patients was(2.42±0.33)points,with a full score rate of 48.41％,indicating a relatively low level of health-promoting behaviors.Univariate analysis showed that there were statistically sig-nificant differences in health-promoting behavior scores among elderly T2DM patients with different educational levels,long-term residences,per capita monthly incomes,diabetes durations,and whether they had received diabetes education(P＜0.05).Patients with higher educational levels and longer diabetes durations had higher health-promoting behavior scores.Sense of personal mastery was positively correlated with health-promoting behaviors(r=0.813,P＜0.001).Hierarchical regression analysis showed that after controlling for general information such as educational level,long-term residence,per capita monthly income,whether having re-ceived diabetes education,and diabetes duration,the sense of personal mastery was a major predictor of health-promoting behaviors,with an independent explanatory rate of 12.70％for health-promoting behaviors.Con-clusion The levels of the sense of personal mastery and health-promoting behaviors in elderly T2DM patients need to be improved,and the two are closely related.Clinical medical staff can help patients improve their health-promoting behavior levels by formulating individualized intervention programs to increase the level of the sense of personal mastery.
关键词
老年患者/糖尿病,2型/个人掌控感/健康促进行为
Key words
elderly patients/diabetes mellitus,type 2/sense of personal mastery/health-promoting be-haviors
维普
万方数据