不同自我管理水平糖尿病前期患者的糖尿病知识现状和需求

Current situation and demands for diabetes knowledge in prediabetes patients at different self-management levels

目的:了解不同自我管理水平糖尿病前期患者知识与需求现状,为提高糖尿病前期患者知识水平的靶向性干预提供参考。方法:选取长沙市3所三级甲等医院体检筛查出的312名糖尿病前期患者,采用糖尿病自我管理行为量表及自行编制糖尿病前期患者知识现状与需求问卷进行调查,对不同自我管理水平患者的糖尿病知识获得和需求状况进行分析。结果:糖尿病前期患者自我管理行为得分39.1±13.9。糖尿病前期患者知识获得率低而需求率高;自我管理水平高的个体,知识获得率较高,知识需求率较低,其中饮食搭配和血糖检测方法是各个自我管理水平等级患者需求率高的知识条目。结论:糖尿病前期患者自我管理水平低,对糖尿病知识掌握现状不容乐观,医务人员应关注患者的个体化需求,以需求为导向,准确、有针对性地开展健康教育。

O bj e ctiv e: To understand the current situation regarding the knowledge and demand for patients with prediabetes at different self-management levels, and to provide guide for improving their knowledge. Methods: A total of 312 prediabetes patients from 3 hospitals in Changsha were enrolled in this survey. The questionnaires covered diabetes self-management behavior scale and prediabetes knowledge status and demand questionnaire. Diabetes knowledge acquisition and demand were analyzed among patients with di ff erent levels of self-management. Results: The score of self-management behavior for patients with prediabetes was 39.1±13.9. The rate of knowledge acquisition was low and the rate of demand was high. The knowledgeacquisition rate was high and the knowledge demand rate was low in patients with high levels of self-management. As for the contents of health education, the dietary collocation and method for glucose detection were highly needed by all self-management levels of patients. Conclusion: Prediabetes patients’ self-management level are low. Health education to patients with prediabetes should be based on individualized demands.