养老机构2型糖尿病衰弱老年人久坐行为现状与影响因素研究

Status Quo and Influencing Factors of Sedentary Behavior of Frail Elders with Type 2 Diabetes Mellitus in Nursing Institutions

目的调查郑州市养老机构2型糖尿病衰弱老年人久坐行为现状,分析其影响因素,为制订个性化决策辅助方案提供参考。方法2022年12月至2023年6月,便利抽样法选取郑州市6所养老机构中225名2型糖尿病衰弱老年人为研究对象,采用一般资料调查表、糖尿病自我效能量表、老年人久坐行为日志对其进行调查。结果郑州市养老机构2型糖尿病衰弱老年人平均久坐时间为(8.71±1.16)h/d,多元线性回归分析结果显示年龄、性别、跌倒史、居住类型、亲属探望频率、糖尿病自我效能、运动步数是其久坐行为的影响因素(均P<0.05)。结论养老机构2型糖尿病衰弱老年人久坐行为现状不容乐观。养老机构医护人员应采取针对性措施,减少其久坐行为,提高2型糖尿病衰弱老年人生活质量。

Objective To investigate the status quo and influencing factors of sedentary behavior of frail elderly individuals with type 2 diabetes mellitus in nursing homes in Zhengzhou,and provide reference for the formulation of customized and auxiliary programs on decision-making.Methods A total of 225 frail elderly individuals with type 2 diabetes mellitus were selected as the objects during December 2022 and June 2023 from 6 different nursing institutions in Zhengzhou.A general information questionnaire,the Diabetes Mellitus Self-Efficacy Scale(SED)and Sedentary Behaviour Diary were used to examine the sedentary behaviour.Results The results showed that the average sedentary time in Zhengzhou nursing institutions was(8.71±1.16)hours per day.The results of the multiple linear regression analysis showed that age,gender,history of falls,living type,frequency of visiting relatives,diabetes self-efficacy,and step count were significant factors influencing sedentary behavior in frail elderly individuals with type 2 diabetes mellitus in nursing institutions(all P<0.05).Conclusions The current situation of sedentary behavior of the elderly with type 2 diabetes in nursing institutions is not optimistic.Institutional healthcare workers should take corresponding measures to reduce their sedentary behaviour and improve the quality of life of frail elders with type 2 diabetics.