老年2型糖尿病病人健康素养水平及其与衰弱的相关性

The status of health literacy and correlation with frailty in elderly patients with type 2 diabetes mellitus

目的调查老年2型糖尿病病人健康素养与衰弱的现状,并探讨两者之间的关系。方法采用简单随机抽样法,选取郴州市4所社区360例老年2型糖尿病病人作为研究对象,收集其基本信息,分别采用健康素养量表、Tilburg衰弱量表评估病人的健康素养水平和衰弱状况。结果老年2型糖尿病病人健康素养总分为(91.35±7.69)分,衰弱总分为(6.13±2.85)分;Pearson相关分析表明,老年2型糖尿病病人的健康素养总分与衰弱总分呈负相关(r=-0.613,P<0.01);多因素线性回归分析结果显示,病人的文化程度、家庭人均月收入、病程、衰弱水平与健康素养水平有关。结论老年2型糖尿病病人健康素养水平有待进一步提高,医护人员应制定针对性的干预措施以提高病人的健康素养,改善其衰弱状况。

Objective To investigate the current status of health literacy and frailty in the elderly patients with type 2 diabetes mellitus(T2DM)and to explore the relationship between them.Methods A simple random sampling method was used to select 360 elderly patients with T2DM from four communities in Chenzhou City.The Health Literacy Scale for Chronic Disease and the Tilburg Frailty Indicator were applied to assess the patients’health literacy level and frailty status,respectively.Results The total score of health literacy in the elderly patients with T2DM was 91.35±7.69,and the total score of frailty was 6.13±2.85.Pearson correlation analysis showed that there was a negative correlation between health literacy and frailty in the elderly patients with T2DM(r=-0.613,P<0.01).Multiple linear regression analysis showed that the education level,monthly income per capita in the family,duration of T2DM and the frailty degree were associated with the level of health literacy.Conclusions The health literacy level of the elderly patients with T2DM needs to be further improved.It is important to develop targeted interventions to improve the health literacy of patients and their frailty.