郊区2型糖尿病患者自我管理行为及其与执行功能的关系研究

目的分析郊区2型糖尿病患者的自我管理行为现状,初步探讨郊区2型糖尿病患者自我管理行为与执行功能的关系。方法采用方便取样法,选择2015年5月至2016年6月就诊于北京市密云区医院内分泌科的93例2型糖尿病患者为研究对象。采用糖尿病患者自我管理行为量表(the summary of diabetes self-care activities measure,SDSCA)、数字连线测验(trail making test,TMT)和自发画钟测验(clock drawing test,CDT)等,对2型糖尿病患者的自我管理行为和执行功能进行调查。结果郊区2型糖尿病患者的自我管理行为,用药管理维度得分为(5.59±2.34)分,运动管理维度得分为(4.22±2.92)分,饮食管理维度得分为(3.84±2.13)分,足部管理维度得分为(1.53±2.07)分,血糖监测维度得分为(0.86±1.25)分。患者连线测验TMT-B测验耗时为(135.60±69.07)s,干扰量为(80.44±5.64)s。自发画钟测验CDT总分为(21.53±6.38)分、数字部分得分为(9.94±3.15)分、指针部分得分为(9.01±3.07)分。多元逐步回归分析显示,仅干扰量和CDT数字部分得分进入运动管理的回归方程。结论郊区2型糖尿病患者的自我管理行为,尤其是足部护理及血糖监测方面还有待提高,自我管理行为与执行功能之间的关系尚需更深入的研究探讨。

Study of Self-care Behaviors and Its Relationship with Executive Function in Type 2 Diabetic Pa-tients in Suburbs

Objective To analyze the current situation of self-care behavior in type 2 diabetic patients in suburbs,and to explore the relationship between self-care behavior and executive function.Methods By convenience sampling,93 cases were selected and their self-care behavior and executive function were inves-tigated by using the summary of diabetes self-care activities measure (SDSCA),trail making test (TMT) and clock drawing test (CDT).Results The medication administration was scored (5.59 ± 2.34),sports management (4.22±2.92),dietary management (3.84±2.13),foot management (1.53±2.07),glucose mo-nitoring (0.86±1.25).TMT-B consuming time was (135.60±69.07)s and interference effects was (80.44± 5.64)s.The total score of CDT and the scores of the digital and pointer parts in CDT were (21.53±6.38), (9.94±3.15 )and (9.01 ± 3.07 ).Multiple stepwise regression analysis showed that only the interference effects and the scores of the digital parts in CDT was significantly correlated with the score of sports man-agement.Conclusion The self-care behavior of the patients with type 2 diabetes in suburbs,especially for the foot management and glucose monitoring remains to be improved.The relationship between self-care behavior and executive function remains to be further researche and discussed.