中卫市152名2型糖尿病患者自我管理现状调查

Self-management of the Patients with Type 2 Diabetic Mellitus in Zhongwei City of Ningxia

目的探讨宁夏中卫市2型糖尿病患者自我管理现状及其与患者文化、职业、经济状况及病程间的关系。方法采用2型糖尿病患者自我管理量表对参加中卫市人民医院糖尿病防治知识讲座的152名2型糖尿病患者进行问卷调查。结果 2型糖尿病患者自我管理的综合评价平均得分指标为67.05%,整体情况较差,以足部护理得分指标最低58.63%;文化程度较高的患者足部护理、预防与处理管理、综合评价的得分较高(P<0.05);不同职业的患者规则运动、饮食控制、药物与血糖控制、足部护理、预防与处理管理及综合评价的得分差异均具有统计学意义(P<0.05);病程较长的患者运动、饮食、药物与血糖控制、足部护理、预防与处理及综合评价的得分较高(P<0.05);有并发心血管发症史的患者中,规则运动的自我管理得分较高(P<0.05)。结论 2型糖尿病患者自我管理现状水平较差,足部护理未得到很好的重视,患者自我管理能力受文化水平、职业、病程的影响。应对不同个体、不同病程、不同职业的患者进行不同形式和内容的健康教育。

Objective To explore the situation of self-manage and the relation with cultural level,occupation and course of illness among patients with type 2 diabetic mellitus（T2DM） in Ningxia.Methods 152 patients with type 2 diabetic mellitus（T2DM） who took health education lectures were investigated using the 2-SCS.Results The index scoring of self-manage among patients with type 2 diabetic mellitus was 67.05% and feet-care was the worst.The scores was different among the different culture level,occupations and course of illness.The self-management scores of type 2 diabetic mellitus patients with cardiovascular disease was higher than those of others.Conclusion The whole self-management situation of the patients with type 2 diabetic mellitus is not very well,specifically in foot-care scores.Besides,cultural level,occupations and course of illness can affect the self-management scores of patients.