北京市老年2型糖尿病患者社会网络现状及影响因素研究

Status of social network and its influencing factors among elderly patients with type 2 diabetes in Beijing

目的调查北京市老年2型糖尿病患者的社会网络现状并分析其影响因素。方法采用自行设计的一般情况调查问卷、Lubben社会网络量表简表、糖尿病自我管理活动问卷、社会支持评定量表、老年抑郁量表简表,对北京市300例老年2型糖尿病患者进行横断面调查。结果老年2型糖尿病患者社会网络得分(16.75±7.02)分,家庭网络得分(8.32±3.63)分,朋友网络得分(8.43±4.74)分,22.67%的患者存在社会网络不足。社会支持、自我管理、是否吸烟、在世子女数是影响老年2型糖尿病患者社会网络水平的重要因素(均P<0.01)。结论北京市老年2型糖尿病患者的社会网络整体处于中等水平,对老年2型糖尿病患者进行干预时,需充分考虑患者社会网络水平及影响因素,协助患者提高自我管理及社会支持水平,从而促进其社会网络水平的提升。

Objective To investigate the social network among elderly patients with type 2 diabetes in Beijing,and to analyze its influencing factors.Methods A self-designed demographic sheet,Lubben Social Network Scale-6(LSNS-6),Summary of Diabetes Self-Care Activities Scale,Social Support Rating Scale and Geriatric Depression Scale-15 were used to investigate 300 elderly patients with type 2 diabetes in Beijing.Results The score of social network of the patients was 16.75±7.02,family network was 8.32±3.63,and friend network was 8.43±4.74,and 22.67%of the patients had inadequate social network.Social support,self-management,smoking or not and number of living children were important factors influencing the social network of elderly patients with type 2 diabetes(P<0.01 for all).Conclusion The social network of elderly patients with type 2 diabetes in Beijing is at a medium level.When we intervene in elderly patients with type 2 diabetes,it is necessary to fully consider their social network and influencing factors,so as to help them enhance their self-management and social support level,and promote the improvement of their social network.