2型糖尿病患者授权能力及影响因素调查

目的 调查2型糖尿病患者的授权能力现状并分析其影响因素.方法 采用一般情况调查表、糖尿病授权简化量表、糖尿病管理自我效能量表及糖尿病态度量表,选取302例2型糖尿病患者的授权能力进行调查,并分析影响因素.结果 2型糖尿病患者授权简化量表得分为（31.91±5.40）分,均分为（4.02±0.71）,患者在减轻疾病带来的压力、克服自我管理过程中所遇的困难及制定个体化行为干预计划方面能力相对较差；多元逐步回归分析结果显示,患者授权能力的影响因素有自我效能（β=0.568,P=0.000）、糖尿病教育（β=0.128,P=0.007）.结论 加强对2型糖尿病患者的糖尿病教育管理,增进自我效能,以提高其授权能力.

Investigation of empowerment status and its influencing factors among type 2 diabetespatients

Objective To investigate the level of empowerment of type 2 diabetic patients and analyze its correlating factors.Methods A total of 302 diabetes patients from a Grade A hospital were investigated with Diabetes Empowerment Scale-Short Form （DES-SF）,Diabetes Management Self-efficacy Scale （DMSES） and The Third Version of Diabetes Attitude Scale （DAS-3） from the diabetes management manual.Results The mean score of empowerment is （4.02 ± 0.71） in the patients.They were not very good in dealing with the pressure,overcoming the difficulties in self-management process and making detailed plan to change behaviors.Multivariate stepwise regression analysis showed that the correlating factors of the empowerment in the patients with type 2 diabetes were self-efficacy （β =0.568,P =0.000）,diabetes education （β =0.128,P =0.007）.Conclusions To strengthen the diabetes education management,promote self-efficacy may increase the empowerment of the patients with type 2 diabetes.