2型糖尿病患者自我管理行为影响因素的质性研究

Qualitative research on the influencing factors of serf-management behavior for type 2 diabetes mellitus patients

目的了解2型糖尿病患者自我管理行为的影响因素，为进一步采取干预措施提供依据。方法采用质性研究方法，对13名2型糖尿病患者进行半结构访谈，运用现象学分析法对资料进行分析。结果影响2型糖尿病患者自我管理行为的因素为患者对糖尿病的认知；患者的自护能力；患者对糖尿病危害的体验；患者对糖尿病的态度；患者的责任意识；患者的社会支持情况。结论为提高2型糖尿病患者的自我管理行为，应帮助患者掌握疾病相关的知识和技能，采取积极的应对方式；此外，责任感增强、良好的社会支持及疾病危害的体验对患者的自我管理行为可起到促进作用。

Objective To understand the influencing factors of self-management behavior for type 2 diabetes mellitus patients and thus to provide a good reference for further interventions. Methods Qualitative method was used in the study. Thirteen type 2 diabetes mellitus were interviewed by semi-structure interviews. The data was analyzed with phenomenological procedure. Results The influencing factors of self-management behavior were as follows ： individual＇ s cognition, self-care ability, experience of disease hazards, attitude to disease, sense of responsibility and social support. Conclusions To further improve patients＇ self-management behaviors, we should help patients acquire disease-related knowledge and skills and take an active coping style. In addition, strengthened responsibility, good social support and disease hazards experience are all conducive to improving patients＇ self-management behaviors.