南通市社区老年2型糖尿病患者糖尿病知信行及影响因素分析

目的了解社区老年2型糖尿病人群对糖尿病知识与行为的知信行情况,为完善社区卫生服务内容及方式提供依据。方法自行设计问卷,对南通市学田社区115例60岁及以上2型糖尿病患者进行抽样问卷调查,内容包括一般项目、糖尿病相关知识、控制血糖行为和糖尿病关注度。结果糖尿病相关知识得分与调查对象的文化程度、吸烟、控制饮食、放松情绪、接受糖尿病教育、对治疗的信心有关（P〈0.05）;比较糖尿病相关的生活与行为指标,不同文化程度的患者在规律运动、接受糖尿病教育及放松情绪3个方面差异有统计学意义（P〈0.05）;文化程度、家庭监督和接受糖尿病教育影响血糖的关注度,差异有统计学意义（P〈0.05,P〈0.01）。结论老年2型糖尿病患者糖尿病相关知信行得分不平衡,文化程度和糖尿病教育是重要的影响因素。提示,家属督促和糖尿病教育可以提高患者对血糖的关注度,应进一步完善社区慢病管理功能。

Investigation on influencing factors for knowledge,attitude and practice among community elderly type 2 diabetes mellitus patients in Nantong city

Objective To investigate the knowledge, attitude and practice （KAP） among community elderly type 2 diabetes mellitus （T2DM） patients and to provide the basis for health service contents and style in community. Methods The sampling investigation were performed using a self-designed questionnaire among 115 elderly T2DM patients （ I〉 60 years old） in Xuetian community of Nantong. General statues, knowledge of DM, glucose controlling and concern about DM were investigated. Results The scores of DM-related knowledge were significantly related with education level, smoking, reasonable diet, relaxing, DM education and the confidence of therapy （P〈0.05）. There were significant differences for disciplinary exercise, DM education and relaxing among T2DM patients with different education levels （P〈0.05）. The concern about blood glucose was significantly influenced by education level, domestic monitoring and DM education （P〈O.05）. Conclusion The scores of diabetes- related KAP are different among the elderly T2DM patients, and the important influencing factors are education level and DM education. The domestic monitoring and DM education may improve the concern about blood glucose in elderly T2DM patients. The management level of chronic diseases in community should be improved.