老年糖尿病病人自我忽视现状及影响因素分析

Status quo and influencing factors of self-neglect in elderly patients with diabetes

目的:探讨老年糖尿病病人自我忽视现状及其影响因素。方法:采用一般资料问卷、老年人自我忽视评估量表、心理弹性量表和家庭关怀度指数问卷对279例老年糖尿病病人进行测评。结果:老年糖尿病病人自我忽视得分为(17.53±4.14)分;多元线性回归分析显示:性别、居住地、糖化血红蛋白、心理弹性、家庭关怀度是自我忽视的影响因素,可预测50.3%的总变异。结论:老年糖尿病病人自我忽视水平有待改善,医护人员应早期识别自我忽视水平高的老年糖尿病病人,给予男性、农村、血糖控制不达标病人更多关注,从增强病人心理弹性和家庭关怀度入手,以降低其自我忽视水平。

Objective:To explore the status quo and influencing factors of self-neglect in elderly diabetic patients.Methods:A total of 279 elderly patients with diabetes were assessed with general information questionnaire,Elder Self-Neglect Assessment,Connor-Davidson Resilience Scale and Family APGAR Index.Results:The self-neglect score of senile diabetic patients was(17.53±4.14).Multiple linear regression analysis showed that gender,residence,glycosylated hemoglobin,mental resilience and family care were the factors influencing self-neglect,which could predict 50.3%of the total variation.Conclusions:The self-neglect level of elderly patients with diabetes needs to be improved.Medical staff should early identify elderly patients with diabetes with high self-neglect level,pay more attention to men,rural areas,and patients with blood sugar control failure,and start with enhancing patients′resilience and family care to reduce the self-neglect level.