2型糖尿病患者授权能力与疾病感知状况及其相关性

Correlation between empowerment and illness perception among patients with type 2 diabetes mellitus

目的探讨2型糖尿病患者授权能力与疾病感知状况及其相关性。方法采用便利取样法,于2014年10月-2015年7月对102例2型糖尿病住院患者进行调查,了解2型糖尿病患者授权能力与疾病感知状况及其相关性。结果 2型糖尿病患者授权能力总分为（4.00±0.65）分,疾病感知总分为（38.00±2.33）分。授权能力总分与疾病感知总分呈正相关（P〈0.001）,授权能力分别与疾病时间线、个人控制、治疗控制、疾病关注以及综合理解得分呈正相关（均P〈0.001）。结论 2型糖尿病患者具有较好的授权能力,其与疾病感知得分呈正相关关系,越能认识到糖尿病是终身疾病的、个人控制与治疗控制更好的、对疾病关心程度更高的以及对疾病相关知识理解越多的2型糖尿病患者,具有更高的授权能力。医护人员应在日常工作中定期评估患者的疾病感知情况,改善患者的疾病感知,进而提高患者的授权能力,最终提高患者的生存质量。

Objective To explore the correlation of empowerment with illness perception among inpatients with type 2 diabetes mellitus. Method The convenience sampling method was used to investigate the status of empowerment and illness perception among102 patients with type 2 diabetes mellitus from October 2014 to July 2015, followed by analyzing the association between the two variables. Results The total score of empowerment was（4.00 ± 0.65）, and the total score of illness perception was（38.00 ± 2. 33）.The empowerment was positively correlated with illness perception（ P 〈0.001）. The empowerment was positively correlated with the timeline, personal control, treatment control, illness concern and illness comprehensibility, respectively（all P 〈0.001）.Conclusions The empowerment of patients with type 2 diabetes mellitus is at a high level, and positively correlated with illness perception, more pronounced chronic nature, the better personal control and treatment control, a higher degree of concern about the disease and better personal understanding of the illness contributed to a higher degree of empowerment. Medical staff should evaluate the illness perception of the patients with type 2 diabetes mellitus regularly in the daily work so as to improve the illness perception,improve their empowerment and promote the patients′ quality of life eventually.