中老年糖尿病前期人群糖尿病知识现况及其影响因素研究

Knowledge and influencing factors of diabetes in middle-aged and elderly patients with prediabetes

目的 了解中老年糖尿病前期人群糖尿病知识现状及其影响因素,为糖尿病前期人群针对性知识宣教提供参考.方法 采取便利抽样法,对2014年7—12月郑州市某三级综合医院门诊体检的234例中老年糖尿病前期人群进行问卷调查.结果 中年和老年糖尿病前期人群在糖尿病相关知识、饮食知识维度及知识总分得分差异具有统计学意义（P〈0.05）,在危险因素、治疗及运动知识维度得分差异无统计学意义（P〉0.05）.多元线性回归分析显示,文化程度和婚姻状态是中年糖尿病前期人群疾病知识的主要影响因素;文化程度和糖尿病家族史是老年人群疾病知识的影响因素.结论 应重视加强对文化程度较低和无配偶的中年糖尿病前期人群以及文化程度较低和无糖尿病家族史的老年糖尿病前期人群的知识宣教和指导.

Objective To investigate the knowledge and influencing factors of diabetes in middle-aged and elderly patients with prediabetes, and to provide evidence for public education in those patients. Methods According to convenient sampling, the questionnaire survey was conducted in 234 middle-aged and elderly patients with prediabetes who had a physical examination in a class Ⅲ grade A hospital in Zhengzhou from July to December 2014.Results There were significant differences in knowledge points of diabetes, diet dimension and total points in middle-aged patients compared with elderly patients （P〈0.05）, however, there was no significant difference in risk factors, treatment and exercise knowledge dimension （P〉0.05）. The multivariable linear regression analysis showed that the main factors for knowledge were marital status and educational level in middle-aged participants, and educational level and family history of diabetes in elderly participants.Conclusions The knowledge of diabetes should be strengthened in middle-aged patients with prediabetes who have low education level and no spouse, and in elderly patients with low education level and no family history of diabetes.