2型糖尿病患者延续性护理需求与自护能力的关系研究

The relationship of care needs and self-care ability of Type 2 diabetes continuity

目的：探讨2型糖尿病患者延续性护理需求与自护能力的关系。方法采用延续性护理需求调查问卷量表和自护能力测评量表对220例患者进行调查，并按照自护能力得分，将患者分为低水平组（得分＜33％总分）、中水平组（得分33％∽65％总分）、高水平组（得分≥66％总分）。比较三组对延续性护理的需求状况，并运用 Pearson相关分析法探讨自护能力与延续性护理需求之间的相关性。结果患者对延续性护理总需求评分（81．25±3．52）分。患者自护能力总分为（75．96±3．45）分。按照自护能力得分情况，低水平组78例，中水平组82例，高水平组60例。低水平组对延续性护理总需求评分为（93．82 ± 5．02）分，显著高于中水平组和高水平组。相关性分析结果表明，自我护理技能与专科护理、健康教育、紧急救护及总需求评分呈显著负相关，自护能力总评分与专科护理、紧急救护、总需求评分呈负相关（P＜0．05，P＜0．01）；自我概念与心理社会支持、健康教育及总需求评分呈显著正相关，自我责任感与心理社会支持、健康教育及总需求评分呈正相关（P＜0．05，P＜0．01） ，自护能力总评分与心理社会支持、健康教育呈正相关（P＜0．05）。结论2型糖尿病患者自护能力较差，对延续性护理的需求较高。尤其是自护能力越低、自我责任感越强、自我概念越强的患者对延续性护理需求越高。

Objective To investigate the relationship of care needs and self - care ability of Type 2 diabetes . Methods The questionnaire continuity of care needs and self -care ability of 220 cases of patients were surved with continui‐ty of care and self -care capacity needs assessment .The patients were divided into low -level group （score〈33% of the to‐tal score） ,middle level group （score=33% -65% score） ,high level group （score≥66% score） .The emand conditions for continuity of care ,and the use of Pearson correlation of two groups were compared .Results Patients need for the continuity of care score （81 .25 ± 3 .52） points .Patient self -care ability total score （75 .96 ± 3 .45） points .According to self -care a‐bility scores ,low group 78 cases ,82 cases in the middle level ,a high level group of 60 cases .Low level of continuity of care for the needs of the group scores highest （93 .82 ± 5 .02） points ,significantly higher than the level of the group and the high level group .Correlation analysis show that ：self -care skills and special care ,health education ,emergency care and the needs of the total score was significantly negatively correlated with healthy self -care ability total score and special care ,e‐mergency care was negatively correlated （P〈0 .05 ,P〈0 .01）;self -concept and psycho -social support ,health education and the total demand score was significantly positively related to self -responsibility and psycho-social support ,health edu‐cation and the total demand scores were positively correlated（P〈0 .05 ,P〈0 .01） ,healthy self -care ability total score and psycho -social support ,health education was positively correlation （P〈0 .05） .Conclusion Patients with type 2 diabetes self-care ability is poor ,higher demand for continuity of care .Especially in the lower self -care ability ,the stronger self -re‐sponsibility ,self -concept ,the stronger the higher the demand for continuity of patient care .