自我感受负担对2型糖尿病患者自我管理行为的影响研究

Survey of the Relationship Between Self-perceived Burden and Self-management Behaviors in Patients with Type 2 Diabetes

目的调查2型糖尿病患者的自我感受负担对其自我管理行为的影响。方法采用便利抽样方法,选取185例2型糖尿病患者。采用一般资料调查表、自我感受负担量表、糖尿病自我管理行为问卷进行现况调查。所得数据采用SPSS 22.0统计学软件进行数据分析,计数资料采用频数、构成比进行描述,计量资料采用均数、标准差进行描述。一般资料中的年龄、糖尿病病程、BMI、SPB及其各维度与自我管理行为做Pearson相关分析,不同性别、家庭月收入之间的自我管理行为比较采用t检验,不同婚姻状况、医疗支付方式、照顾者与患者关系、照顾者健康状况、并发症数量之间的自我管理行为比较做方差分析。以自我管理行为为因变量,单因素中有显著统计学意义的变量纳入回归方程进行分层回归分析。结果 2型糖尿病患者自我管理行为的总均分为(3.55±2.12)分,血糖监测尤其值得关注;自我感受负担量表总均分为(31.69±10.09)分,两者显著相关。进一步分层回归分析显示自我感受负担单独解释了自我管理行为11.6%的总变异量。结论 2型糖尿病患者的自我管理行为不容乐观,自我感受负担处于中等水平,建议通过关注及改善年龄较大、出现并发症及照顾者健康状况较差的患者,逐步改善其自我感受负担,进而改善自我管理行为。

Objective To investigate the relationship between self- perceived burden and self - manage- ment behaviors in patients with type 2 diabetes. Methods Using convenience sampling method, 185 cases of pa- tients with type 2 diabetes were surveyed. The general information questionnaire, self - perceived burden scale, the self- management behaviors questionnaire were delivered. Results The mean score of the self - manage- ment behaviors was（3.55 ± 2.12）, the self - perceived burden of patients with type 2 diabetes was（31.69 ± 10. 09 ）. The self- perceived burden explained 11.6 % of the total variance of the self- management behaviors. Con- clusion The self - management behaviors is not ideal. The self - perceived burden in patients with type 2 dia- betes in the medium level, we should pay more attention and take some actions to improve patients＇ self- per- ceived burden, especially the older, the one who having complications and poor health status of the caregivers.