2型糖尿病患者自我管理行为现况及其影响因素分析
Currentstatus of self-management behaviors in patients with type 2 diabetes and its influencing factors
欧光忠 1陈锦辉 1伍莹 1陈梅兰1
作者信息
- 1. 福建省疾病预防控制中心,福建 福州 350012
- 折叠
摘要
目的 了解2型糖尿病(Type 2 Diabetes mellitus,T2DM)患者的自我管理行为现况及其影响因素,为开展糖尿病患者健康教育工作提供科学依据.方法 采用方便抽样方法选取福建省4家社区卫生服务中心内进行糖尿病健康管理的部分T2DM患者进行调查.采用多元线性回归模型分析影响T2DM患者自我管理行为的主要因素,采用Pearson相关分析法分析其自我管理行为得分与健康信息素养水平、疾病感知得分间的相关性.结果 T2DM患者自我管理行为得分为(35.57±15.77)分.多元线性回归分析结果显示,45～59岁(B=-7.301)、60～69 岁(B=-9.758)、≥ 70 岁(B=-8.138)、小学文化程度(B=7.089)、初中文化程度(B=10.643)、高中/职高/中专文化程度(B=17.796)、大专文化程度(B=15.167)、本科及以上文化程度(B=15.945)、健康状况一般(B=5.449)、健康状况比较好(B=10.238)是影响T2DM患者自我管理行为的主要因素(P＜0.05).Pearson相关分析结果显示,T2DM患者的自我管理行为得分与健康信息素养水平得分呈正相关(r=0.597),疾病感知得分与健康信息素养水平得分呈负相关(r=-0.277,P＜0.05).结论 年龄、文化程度和健康状况是影响T2DM患者自我管理行为的主要因素,且其健康信息素养水平得分与自我管理行为得分间呈正相关.
Abstract
Objective To understand the factors influencing self-management behaviors in patients with type 2 dia-betes mellitus(T2DM)and to provide scientific evidence for health education programs in diabetic patients.Methods A convenient sampling method was used to select some T2DM patients who underwent diabetes health management in four com-munity health service centers in Fujian Province for investigation.T-tests and analysis of variance(ANOVA)were employed to analyze the relationships between self-management scores and different characteristics of T2DM patients.Multivariate linear regression analysis was conducted to identify the main factors affecting the self-management behavior scores of T2DM pa-tients.Pearson correlation analysis was used to examine the relationships among self-management behavior,health informa-tion literacy,and disease perception.Results The mean self-management behavior score of T2DM patients was 35.57±15.77.Multivariate linear regression analysis revealed that groups aged 45-59 years(B=-7.301),60-69 years(B=-9.758),and ≥70 years(B=-8.138),as well as educational levels of primary school(B=7.089),junior high school(B=10.643),senior high school/vocational high school/technical secondary school(B=17.796),college(B=15.167),and university or above(B=15.945),and perceived health status as"fair"(B=5.449)and"good"(B=10.238)were significant factors influencing self-management behavior(P＜0.05).Correlation analysis showed positive correlation between self-management behavior and health information literacy(r=0.597),and negative correlation between disease perception and health information literacy(r=-0.277,P＜0.05).There was no significant correlation between disease perception and self-management behavior.Conclusion Educational level,age,and perceived health status are ma-jor factors influencing self-management behaviors,and there is positive correlation between health information literacy and self-management behavior.
关键词
2型糖尿病患者/自我管理行为/健康信息素养/疾病感知Key words
Type 2 diabetes mellitus/Self-management behavior/Health information literacy/Illness perception引用本文复制引用
出版年
2024
NETL
NSTL
万方数据