社区糖尿病患者糖尿病知信行现状调查

Status survey of knowledge, attitude and practice of diabetes in community diabetic patients

目的了解社区糖尿病患者糖尿病知信行现状,分析其影响因素,为开展社区糖尿病防治工作提供依据。方法2017年1—11月,采用整群抽样法对徐州市某社区共820例糖尿病患者进行问卷调查,问卷包括一般情况调查表、糖尿病知识问卷、糖尿病问题量表和糖尿病自我管理行为量表,应用SPSS19.0软件进行数据统计分析。结果820例社区糖尿病患者的糖尿病知识得分为(35.92±7.59)分,态度得分为(10.95±6.20)分,行为得分为(25.73±7.80)分;糖尿病知识与态度呈正相关(r=0.093,P<0.01),态度与行为呈正相关(r=0.102,P<0.01),知识与行为呈正相关(r=0.337,P<0.01)。不同职业、文化程度、居住情况、睡眠时间、糖尿病病程、治疗方式、BMI的患者知识问卷的得分差异有统计学意义(P<0.05);不同性别的糖尿病患者态度得分差异有统计学意义(P<0.01);不同糖尿病病程、文化程度、职业、治疗方式的糖尿病患者行为得分差异有统计学意义(P<0.01)。结论徐州市某社区糖尿病患者糖尿病知信行处于不及格水平,糖尿病教育者应下沉基层,加大健康教育力度,促进社区糖尿病患者综合能力的提升。

Objective To explore the status quo of knowledge, attitude and practice (KAP) of diabetes in community diabetic patients, analyze its influencing factors, and provide a basis for community diabetes prevention and treatment. Methods Totally 820 diabetic patients from a community in Xuzhou were selected by cluster sampling and investigated with the general information questionnaire, diabetes knowledge questionnaire (DKQ) , Problem Areas Diabetes Scale (PAID) and Summary of Diabetes Self-Care Activities (SDSCA) between January and November 2017. SPSS19.0 was used for statistical analysis of data. Results The scores of diabetes KAP in the 820 community diabetic patients was (35.92±7.59) , (10.95±6.20) and (25.73±7.80) , respectively;and there was a positive correlation between knowledge and attitude, attitude and practice, and knowledge and practice (r=0.093, 0.102, 0.337;P<0.01) . There were significant differences in the scores of knowledge questionnaires of patients with different occupations, educational levels, living conditions, sleep time, course of diabetes, treatment methods and BMI (P<0.05);the score of attitude was statistically different among diabetic patients of different sex (P<0.01);and the score of practice was statistically different between diabetic patients with different course of disease, educational background, profession and treatment methods (P<0.01) . Conclusions The KAP level of diabetes in the diabetic patients from the community in Xuzhou was of a failure level. Therefore, diabetes educators should go to grassroots units, enhance health education, and improve the overall ability of community diabetic patients.