2型糖尿病患者自我管理行为影响因素的调查与分析

Investigation and analysis of influencing factors of self-management behavior in patients with type 2 diabetes

目的探讨2型糖尿病患者自我管理行为的相关影响因素,并分析护理对策。方法选择医院2018年1月—2020年1月收治的2型糖尿病患者200例为研究对象,通过调查患者基础信息,借助中文版糖尿病自我管理行为量表(SDSCA)进行评价,采用单因素与多元线性回归分析筛选患者自我管理行为的相关影响因素。结果糖尿病自我管理行为(SDSCA)评分为78.43±3.64分,其中自我管理中高水平患者144例;经单因素及多元线性回归分析显示,年龄、病程、并发症、心理痛苦、社会支持、家庭关怀度、希望水平、系统化健康教育为影响2型糖尿病患者自我管理行为的影响因素(P<0.05)。结论2型糖尿病患者自我管理行为表现各异,且其影响因素复杂,临床需加强教育引导,全面提升患者自我管理水平。

Objective To explore the related influencing factors of self-management behaviors of patients with type 2 diabetes,and analyze nursing strategies.Methods A total of 200 patients with type 2 diabetes who were admitted to the hospital from January 2018 to January 2020 were selected as the study objects.The basic information of the patients was investigated and the Chinese version of the diabetes self-management behavior scale(SDSCA)was used for evaluation.Single factor and multiple linear regression analysis were used to screen the relevant influencing factors of patients’self-management behavior.Results The SDSCA score was 78.43±3.64 points,including 144 cases of patients with high level of self-management.Univariate and multiple linear regression analysis showed that the age,course of disease,complications,psychological pain,social support,family care,level of hope,and systematic health education were the influencing factors that affected the selfmanagement behavior of patients with type 2 diabetes(P<0.05).Conclusion The self-management behavior of patients with type 2 diabetes was different,and its influencing factors were complex.Clinical education and guidance need to be strengthened to improve the self-management level of patients in an all-round way.