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| 自我管理小组活动对糖尿病患者自我效能影响因素分析 | |
| 引用本文： | 齐力, 董文兰, 毛凡, 董建群. 自我管理小组活动对糖尿病患者自我效能影响因素分析[J]. 中国公共卫生, 2016, 32(5): 628-631. DOI: 10.11847/zgggws2016-32-05-17 |
| 作者姓名： | 齐力 董文兰 毛凡 董建群 |
| 作者单位： | 1.中国疾病预防控制中心慢性非传染性疾病预防控制中心, 北京 100050 |
| 摘 要： | 目的 评估糖尿病患者参加自我管理小组活动前后自我效能的改变情况,分析其影响因素,为完善自我管理小组活动效果提供相关依据。方法 将参加中国糖尿病综合管理项目2014年社区糖尿病患者自我管理小组活动的所有糖尿病患者(1509人)为研究对象,通过活动前后两次问卷调查了解患者的基本信息和自我效能得分情况,采用多重线性回归分析干预效果的影响因素。结果 自我管理小组活动后,糖尿病患者自我效能总体得分(101.19±18.91)分高于活动前(85.88±20.99)分,差异有统计学意义(t=30.04,P<0.01)。多因素分析结果显示,参加小组活动的次数(β=0.87)、有社区医生参加(β=5.69)及自觉所学知识和技能有用(β=7.16)与自我效能得分的提升呈正相关;自评活动内容较难理解(β=-3.84)与自我效能得分的提升呈负相关。结论 自我管理小组活动可以提高糖尿病患者的自我效能,患者参加小组活动的次数、对活动内容的理解程度等是影响糖尿病患者自我效能提高的因素。 |
| 关 键 词： | 糖尿病 自我管理 自我效能 影响因素 |
| 收稿时间： | 2016-01-28 |
Impact of self-management group activities on self-efficacy and its influencing factors among diabetic patients |
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| QI Li, DONG Wen-lan, MAO Fan.et al, . Impact of self-management group activities on self-efficacy and its influencing factors among diabetic patients[J]. Chinese Journal of Public Health, 2016, 32(5): 628-631. DOI: 10.11847/zgggws2016-32-05-17 | |
| Authors: | QI Li DONG Wen-lan MAO Fan.et al |
| Affiliation: | 1.National Center for Chronic and Non-Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China |
| Abstract: | Objective To analyze changes in self-efficacy of diabetic patients before and after self-management group activities and potential influencing factors for the changes and to provide evidences for improving self-management group activities.Methods A total of 1 059 diabetic patients who participated in 2014 annual activities of China Initiative for Diabetes Excellence Training Course were enrolled as the subjects.Questionnaire surveys on self-efficacy status were conducted before and after the implementation of self-management group activities.Multivariate regression analysis was performed to analyze influence factors for changes in self-efficacy.Results The score of self-efficacy(101.19±18.91) after the last activity of self-management group was significantly higher than that(85.88±20.99) before the first activity(P<0.001).The scores for dietary, sports, medication, self-monitoring of blood glucose, foot care, prevention and solution of high and low blood glucose were all improved significantly after the self-management group activities(P<0.001).Multivariate analysis results showed there was a positive correlation between frequency of attending self-management group activities and self-efficacy changes(β=0.87), physician's participation in the community and self-efficacy changes(β=5.69), as well as between perceived useful knowledge and skills from the activities and self-efficacy changes(β=7.16).There was a negative correlation between perceived difficulties in understanding the contents of education activity and self-efficacy change (β=-3.84).Conclusion The self-management group activity could improve self-efficacy of diabetic patients.Frequency of attending self-management group activities, perceived difficulty in education content, usefulness of the knowledge provided by activities, and participation of community physicians in the activities are major factors influencing self-efficacy of diabetes patients involved in the self-management group activities. |
| Keywords: | diabetes self-management self-efficacy influencing factor |
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