四川广元农村老年2型糖尿病患者自我管理水平现状调查(1)
摘要：目的 調查四川广元农村留守老年2型糖尿病患者自我管理水平现状。方法 采用整群随机抽样方法，抽取广元市农村留守老年2型糖尿病患者共240例作为调查对象，采用一般资料调查表、自我管理效能量表、自我管理行为量表进行调查研究。结果 自我管理效能排前三的为“自行检查我的脚”(85.83%)、“有能力做足够的身体活动”(82.50%)、“医师建议我多做一些身体活动我有能力确实做到”(76.25%);后三位为“需要时，有能力自行检测血糖”(41.67%)、“特殊节日时，我仍然能遵守健康饮食计划”(54.17%)、“当面对压力或焦虑时，仍然能维持我的饮食计划”(55.83%);自我管理行为中，排在前两位的为“检查鞋子内部有无异物、平整、舒适情况的天数”“进行持续时间>30分钟的运动情况”;后两位为“7天内进行了血糖监测的天数”“7天内完成适合自身状况的血糖监测次数的天数”。结论 在广元农村地区，老年2型糖尿病患者自我效能和自我管理水平均较低，具体项目中以自我血糖监测最差。对农村老年2型糖尿病患者进行相关的健康教育干预势在必行，以提高患者的自我管理水平。
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关键词：2型糖尿病患者;自我管理;留守老人;健康教育
中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.05.040
文章编号：1006-1959(2019)05-0126-04
Abstract：Objective To investigate the current status of self-management in elderly patients with type 2 diabetes mellitus in rural Guangyuan， Sichuan.Methods A total of 240 elderly patients with type 2 diabetes mellitus in rural residents in Guangyuan City were enrolled in this study. The general data questionnaire， self-administered energy meter and self-management behavior scale were used for investigation.Results The top three self-management performances were "self-examination of my feet" (85.83%) and "capable of doing enough physical activity"(82.50%)."Physicians suggested that I do more physical activities. I have the ability to do it. "(76.25%); the last three are "the ability to self-test blood sugar when needed" (41.67%)，"I can still follow a healthy diet plan during special holidays" (54.17%)， "When faced with stress or anxiety At the time， I can still maintain my diet plan(55.83%); in the self-management behavior，the top two are "the number of days to check whether there is foreign matter， smoothness and comfort inside the shoes""Performance duration> 30 minutes The "motion situation"; the last two are"the number of days of blood glucose monitoring within 7 days"，"the number of days to complete the blood glucose monitoring times for their own conditions within 7 days." Conclusion In the rural areas of Guangyuan， the self-efficacy and self-management levels of elderly type 2 diabetes patients are lower， and the self-glycemic monitoring is the worst in specific projects. It is imperative to carry out relevant health education interventions for rural elderly patients with type 2 diabetes to improve their self-management., 百拇医药(魏佳俐 冯玉 管历颖)
, http://www.100md.com
关键词：2型糖尿病患者;自我管理;留守老人;健康教育
中图分类号：R473.5 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.05.040
文章编号：1006-1959(2019)05-0126-04
Abstract：Objective To investigate the current status of self-management in elderly patients with type 2 diabetes mellitus in rural Guangyuan， Sichuan.Methods A total of 240 elderly patients with type 2 diabetes mellitus in rural residents in Guangyuan City were enrolled in this study. The general data questionnaire， self-administered energy meter and self-management behavior scale were used for investigation.Results The top three self-management performances were "self-examination of my feet" (85.83%) and "capable of doing enough physical activity"(82.50%)."Physicians suggested that I do more physical activities. I have the ability to do it. "(76.25%); the last three are "the ability to self-test blood sugar when needed" (41.67%)，"I can still follow a healthy diet plan during special holidays" (54.17%)， "When faced with stress or anxiety At the time， I can still maintain my diet plan(55.83%); in the self-management behavior，the top two are "the number of days to check whether there is foreign matter， smoothness and comfort inside the shoes""Performance duration> 30 minutes The "motion situation"; the last two are"the number of days of blood glucose monitoring within 7 days"，"the number of days to complete the blood glucose monitoring times for their own conditions within 7 days." Conclusion In the rural areas of Guangyuan， the self-efficacy and self-management levels of elderly type 2 diabetes patients are lower， and the self-glycemic monitoring is the worst in specific projects. It is imperative to carry out relevant health education interventions for rural elderly patients with type 2 diabetes to improve their self-management., 百拇医药(魏佳俐 冯玉 管历颖)