糖尿病视网膜病变患者自我健康管理的影响因素

Influencing factors of self-health management among patients with diabetic retinopathy

目的了解糖尿病视网膜病变患者健康自我管理水平及影响因素。方法选取唐山市眼科医院住院治疗的300例DR患者进行成年人健康自我管理能力测评量表评测及影响因素调查。结果 DR患者自我管理能力总分为(138.37±26.83)分,呈中等水平,其中在健康自我管理认知方面得分较高,而在健康自我行为方面得分较低;多因素分析显示糖化血红蛋白、家庭功能是DR患者自我管理能力的影响因素。结论应重视DR患者的糖化血红蛋白及家庭功能的改善,提高自我健康管理水平。

[Objective]To investigate the level and influencing factors of self-health management among patients with diabetic retinopathy （DR）. [Methods]300 DR patients who were treated in Taugshan Hospital of Ophthalmology were recruited in this study. They were investigated by the Adult Health Self-Management Skills Assessment Scale （AHSMSRS）, and the influencing factors were analyzed.[Results]The total scores of AHSMSRS among DR patients were （138.37±26.83）, which belonged to the middle level. The scores in cognition of health self-management were higher, while the scores in health self health behavior were lower. Multivariate analysis showed that the glyeosylated hemoglobin and family function were the influencing factors of self-health management among DR patients.[Conclusion]It is necessary to pay attention to the improvement of glycosylated hemoglobin level and family function of DR patients, to enhance the level of self-heahh management.