2型糖尿病患者慢性肾脏病风险感知现状及其影响因素

Status Quo and Influencing Factors of Risk Perception of ChronicKidney Disease in Type 2 Diabetes Patients

目的了解2型糖尿病患者慢性肾脏病风险感知现状并分析其影响因素,为进一步促进患者疾病管理提供参考。方法于2022年6月至2023年2月选取235例在郑州大学第二附属医院住院的2型糖尿病患者,采用一般资料问卷、糖尿病患者慢性肾脏病风险感知量表进行问卷调查。结果235例2型糖尿病患者慢性肾脏病风险感知总分为(85.23±18.37)分,易感性维度得分(25.30±5.90)分,有益性维度得分(14.89±5.00)分,严重性维度得分(10.74±3.46)分,障碍性维度得分(21.11±5.74)分,促发因素维度得分(13.13±4.52)分;回归分析结果显示,受教育程度、年龄、有无并发症、糖尿病家族史、糖尿病病程、疾病了解是2型糖尿病患者肾脏病风险感知的影响因素(P<0.05)。结论2型糖尿病患者慢性肾脏病风险感知水平仍需进一步提高,护理人员可针对不同人群特征,制定个体化风险沟通策略,以进一步提高患者慢性肾脏病风险感知,降低糖尿病肾病的发生率。

Objective To investigate the status quo of risk perception of chronic kidney disease in type 2 diabetes patients and analyze its influencing factors,so as to provide reference for further disease management.Methods A total of 235 patients with type 2 diabetes admitted to the Second Affiliated Hospital of Zhengzhou University from June 2022 to February 2023 were selected.General data questionnaire and perception of risk of chronic kidney disease scale were used for questionnaire survey.Results The total score of risk perception of chronic kidney disease in 235 patients with type 2 diabetes was(85.23±18.37),the score of susceptibility dimension was(25.30±5.90),the score of beneficial dimension was(14.89±5.00),the score of severity dimension was(10.74±3.46).The score of obstacle dimension was(21.11±5.74),and the score of initiating factor dimension was(13.13±4.52).The results of regression analysis showed that education level,age,complications,family history of diabetes,course of diabetes and knowledge of disease were factors influencing the perception of renal disease risk in type 2 diabetes patients(P<0.05).Conclusion The level of risk perception of chronic kidney disease in type 2 diabetes patients still needs to be further improved.Nursing staff can develop individualized risk communication strategies according to different population characteristics,so as to further improve the risk perception of chronic kidney disease in patients and reduce the incidence of diabetic nephropathy.