外科糖尿病患者参与围术期血糖管理的现状及其影响因素分析

Status quo of surgical diabetic patients in participating in perioperative blood glucose management and influencing factors analysis

目的探讨外科糖尿病患者参与围术期血糖管理的知信行现状及其影响因素。方法采用便利抽样法,选取2018年10月至2019年4月郑州市3所三级甲等医院外科住院糖尿病患者,调查其参与围术期血糖管理知信行现状,分析影响因素。结果回收有效问卷270份。患者参与围术期血糖管理知识得分为(31.08±4.74)分、参与意愿得分为(32.17±3.07)分、参与行为得分为(46.04±5.41)分。多因素分析结果显示,性别、年龄、文化程度、主要照顾者、糖尿病史是糖尿病患者参与围术期血糖管理知识的影响因素(P<0.05),文化程度是糖尿病患者参与围术期血糖管理意愿及行为的影响因素(P<0.05)。结论不同特征的外科糖尿病患者对围术期血糖管理知识及态度有差距,应根据患者情况采取个体化的健康教育及干预策略来提高患者的围术期血糖知识水平。

Objective To investigate the status quo of the willingness, knowledge and behavior of surgical diabetic patients participating in perioperative blood glucose management and its influencing factors.Methods The convenience sampling method was used to investigate the status quo of the willingness, knowledge and behavior of surgical diabetic inpatients selected from 3 tertiary hospitals in Zhengzhou City form October 2018 to April 2019.Their status quo for participating in the willingness, knowledge and behavior of perioperative blood glucose management was investigated.The influencing factors were analyzed.Results The 270 effective questionnaires were recovered.The perioperative blood glucose management knowledge score was(31.08±4.74) points, participating willingness score was(32.17±3.07) points and participation behavior score(46.04±5.41).The multivariate analysis results showed that the gender, age, educational level, primary caregivers and diabetes history were the influencing factors of perioperative blood glucose management knowledge of diabetic patients.The educational level was the influencing factors of the willingness and behavior of diabetic patients participating in perioperative blood glucose management.Conclusion The surgical diabetic patients with different characteristics have the differences in perioperative blood glucose management knowledge and attitude.The personalized health education and intervention strategy should be adopted to increase the knowledge level of perioperative blood glucose management according to the patient’s condition.