糖尿病患者自我管理能力调查分析

ANALYSIS ON SELF-MANAGEMENT CAPABILITY OF DIABETES MELLITUS PATIENTS

[目的]了解糖尿病(DM)患者自我管理能力对疾病的影响。[方法]2003年7～12月,采取自行设计的调查表对济宁市卫生防疫站慢性病防制科门诊327例DM患者自我管理能力进行调查。[结果]327例DM患者中,自我管理能力强者血糖控制显著好于自我管理能力差者,并发症发生率显著低于自我管理能力差者,差异有统计学意义(P均﹤0.01);自我管理能力越差,餐后血糖控制越不理想,均有统计学意义;年龄越大自我管理能力越差,差异有统计学意义(P﹤0.001);接受健康教育者自我管理能力显著高于未接受教育者,差异有统计学意义(P﹤0.001)。[结论]DM患者的自我管理能力对疾病有直接、重大的影响,自我管理能力强,则疾病能得到较好控制,而健康教育可提高自我管理能力。

[Objective] To study the effects of diabetes mellitus （DM） patients＇ Self-Management capability on diabetes. [Methods] From July to December in 2003, 327 DM outaptients were investigated by self-designed questionnaire about Self-Managment capability in Jining Sanitary and Anti-epidemic Station. [ Results] Among 327 DM outpatients, the level of serum glucose of the patients who had strong Self-Management capability was significantly more equable than that of the patients who had weak Self-Management capability. The incidence rate of complication of the former was obviously lower than that of the latter （P 〈 0.01） . The weaker the Self-Management capability was, the less satisfactory the level of postprandial blood sugar was. The older the patient was, the weaker the Self-Management capability was （P 〈 0.001 ） . The Self-Management capability of the patient who received the health education was markedly higher than that of the patient who didn＇t receive （P 〈 0.001 ） . [ Conclusions] The Self-Management capability of DM patients have direct and important influence on the diabetes. The stronger the Self-Management capability is, the better the control for the diabetes is, and health education can enhance the capability of Self-Management.