2型糖尿病患者自我管理现状与糖尿病知识、态度的相关性

目的:评估2型糖尿病(T2DM)患者糖尿病(DM)知识、态度以及自我管理的状况,探讨T2DM患者自我管理与糖尿病知识、态度的相关性,为进一步认识T2DM患者自我管理与糖尿病知识、态度的相互关系提供有效参考。方法:采用一般资料调查表、DM知识量表、DM态度量表及DM自我管理问卷对4所三级综合医院200名T2DM患者进行问卷调查。结果:DM知识得分为68.06±10.07,DM态度得分为122.60±5.66,DM自我管理得分为57.98±15.30。文化程度、DM病程、DM并发症、定期复查是自我管理水平的影响因素。自我管理得分与DM知识得分(r=0.176,P<0.05)、DM态度得分(r=0.256,P<0.01)均成正相关。结论:绝大多数T2DM患者DM知识、自我管理处于中低水平。医务人员对T2DM患者进行健康教育时,除强调有关DM知识之外,积极改善态度,可以促进形成良好的自我管理行为。

Correlation between self-management and knowledge of and attitude to diabetes in type 2 diabetic patients in Changsha

Objective: To assess the level of diabetes knowledge, attitude and self-management activities of the patients with type 2 diabetes mellitus (T2DM), and explore the correlation between diabetes knowledge, attitude and self-care. Methods: Totally 200 T2DM patients finished the questionnaires, including the demographic information questionnaire, the Audit of Diabetes Knowledge (ADKnowl), the third version of Diabetes Attitude scale (DAS-3) and the Summary of Diabetes Self-Care Activities (SDSCA). Results: The ADKnowl score was 68.06?10.07. The DAS-3 score was 122.60?5.66. The SDSCA score was 57.98?15.30. Education level, duration of diabetes, complications and periodic review were the influential factors for self-care behaviors. The score of self-care behaviors was positively related to diabetes knowledge (r=0.176, P<0.05) and attitude (r=0.256, P<0.01). Conclusion: Diabetes knowledge and self-care behaviors in the vast majority of T2DM patients are at a low level. Medical staff should not only emphasize the diabetes knowledge, but also pay enough attention to the attitude of T2DM patients and improve their self-care behaviors.