空巢老年糖尿病患者自我管理水平和生存质量的相关性研究

The correlation between self-management and quality of life in empty nest older people with diabetes

目的探讨空巢老年糖尿病患者自我管理水平和生存质量的相关性。方法用糖尿病自我管理活动问卷(SDSCA)和中国糖尿病患者生存质量特异性量表(DSQL)对182例空巢老年糖尿病患者进行问卷调查。结果空巢老年糖尿病患者中,SDSCA得分较高的维度有:饮食自我管理、运动自我管理和遵医嘱服药;得分较低的维度有:血糖自我监测、足部护理。空巢老年糖尿病患者生存质量DSQL的总分为(59.60±10.85)分。相关性分析显示,运动自我管理、血糖自我监测、足部护理与生存质量存在相关性(P<0.01)。结论护理人员在对空巢老年糖尿病患者的干预中,应注重提高患者饮食、运动、用药、监测、足部护理等方面的自我管理能力,改善其生存质量。

Objective To examine the correlation between self-management and quality of life in empty nest older people with diabetes. Methods Totally 182 empty nest older people with diabetes were investigated using the Summary of Diabetes Self-care Activities（SDSCA）and the Diabetes Patients＇ Quality of Life in China（DSQL）. Results The empty nesters with diabetes reporled higher level of self-management in the faetors of dietary self-management,exercise self-management and medication compliance. However,they reported lower level of self-management in the factors of self-monitoring of blood glucose and foot care. The mean score of quality of life was 59.60＋-10.85. Correlation analysis showed that the score of quality of life was significantly correlated with the score of exercise self-management,self-monitoring of blood glucose and foot eare（P〈0.01）. Conclusion Nursing staff should make efforts to strengthen the patients＇ self-management on diets,exercise,medication,self- monitoring of blood glucose and foot care and thereby to improve the quality of life for empty nets older people with diabetes.