2型糖尿病病人希望水平与自我管理行为状况及其相关性

Correlation between hope level and self-management behaviors among patients with type 2 diabetes

目的探讨2型糖尿病病人希望水平与自我管理行为状况及其相关性。方法采用便利抽样法,2015年12月-2016年4月对本市某三级甲等综合医院内分泌科住院的198例2型糖尿病病人进行调查,了解其希望水平与自我管理行为状况及其相关性。结果 2型糖尿病病人希望水平得分为(35.0±3.6)分,呈中等水平,自我管理行为得分为(84.1±13.0)分,总体处于中等水平;病人希望水平总分及各维度与自我管理行为总分及遵医嘱服药,足部护理,高、低血糖处理维度呈正相关(均P<0.05),与他人保持亲密关系与规律锻炼呈正相关(P<0.05),病人希望水平总分及各维度与饮食控制、血糖监测无相关关系(均P>0.05)。结论 2型糖尿病病人希望水平、自我管理行为均处于中等水平,希望水平与自我管理行为密切相关,护理人员应关注病人的希望水平,制订相应的干预措施,以提高病人的自我管理能力和生活质量。

Method One hundred and ninety-eight hospitalized patients with type 2 diabetes were recruited in the investigation by convenience sampling in a first-class grade I hospital from December 2015 to April 2016 to understand the status of hope and self-management behaviors as well as the correlation between them. Results The score on hope level was （35.0±3.6）, which was in a medium or above level. The total score of self-management behaviors was （84.1 ±13.0）,which indicated their self-management remained in the middle level. The total score on the hope level and its all dimensions were positively correlated with the total score on self-management behaviors and the dimensions such as drug compliance, foot care, high and low blood sugar processing （all P 〈0.05）. There was a positive relationship between maintain close relationship with others and regular exercise （P〈0.05）. The average score on hope and each dimension were insignificantly correlated with diet control and blood glucose monitoring （all P〉0.05）. Conclusions The hope of 2 diabetic patients is in a medium or above level. The hope level is closely related to their self-management behaviors. The nurses should pay attention to the hope level of patients. Effective nursing interventions should be adopted to improve the self - management ability and quality of life in patients with type 2 diabetes.