精神分裂症合并2型糖尿病患者自我管理现状的调查

Investigation on status of self- management behavior of schizophrenic patients combined with type 2 diabetes

目的了解精神分裂症合并2型糖尿病患者的自我管理现状。方法采用糖尿病健康知识问卷、治疗态度问卷和糖尿病自我管理量表对门诊复诊的56例精神分裂症合并2型糖尿病患者进行调查。结果患者健康知识总分为(64.82±15.52)分,其中良好10例,占17.86%;中等25例,占44.64%;较差21例,占37.50%。患者治疗态度总分为(12.41±2.09)分。患者自我管理总分为(65.49±13.04)分,其中良好11例,占19.64%;中等24例,占42.86%;较差21例,占37.50%。患者的健康知识与治疗态度呈正相关(r=0.393,P=0.003),健康知识与自我管理呈正相关(r=0.489,P=0.000),治疗态度与自我管理呈正相关(r=0.620,P=0.000)。结论精神分裂症合并2型糖尿病患者自我管理行为有待改善,医护人员应有针对性地开展健康教育。

Objective To understand the status of self - management behavior of schizophrenic patients combined with type 2 diabetes. Methods A total of 56 return visiting schizophrenic outpatients with type 2 diabetes were recruited and surveyed with a self - designed questionnaire, diabetes knowledge question- naire, treatment attitude questionnaire, and the Diabetes Self - Care Scale （DSCS）. Results The health knowledge score of the 56 schizophrenic patients with type 2 diabetes was （64.82 _＋ 15.52） ,of which 10 cases were with a high level （ 17.86% ） ,25 cases were general （44.64%） ,and 21 cases were with a low level（37.50% ）. The score of patient＇s treatment attitude was （12.41 -＋ 2.09）. The self - care behavior score of the 56 schizophrenic patients was （65.49 ＋ 13.04） ,of which 11 cases were with a high level（ 19.64% ） , 24 cases were general （42.86%） ,and 21 cases were with a low level（37.50% ）. The health knowledge score was positively correlated with treatment attitude score （ r = 0. 393, P = 0. 003 ） and self - management behavior score （ r = 0. 489, P = 0. 000）. A positive correlation was found between treatment attitude score and self - management behavior score （ r = 0. 620, P = 0. 000）. Conclusion The self - management level of schizophrenic patients with type 2 diabetes should be improved, and medical staffs should develop targeted health education.