山东省2型糖尿病患者家庭支持现状及对自我管理行为的影响

目的  调查山东省2型糖尿病患者的家庭支持现状，分析家庭支持与患者自我管理行为之间的关系，为患者自我管理行为干预提供依据。 方法  采用多阶段分层随机抽样的方法，选取山东省4个地市的2 520名2型糖尿病进行问卷调查；运用非条件Logistic回归分析探索家庭支持与不同自我管理行为之间的关系。 结果  患者家庭支持的平均得分为(16.3±5.3)分；患者进行饮食控制、体育锻炼、服药依从和血糖监测(≥ 1次/周)的比例分别为75.4%、61.6%、38.5%和17.1%。Logistic分析结果显示，家庭支持得分越高，患者进行饮食控制、体育锻炼和血糖监测的可能性越大，OR值分别1.03(95%CI：1.01~1.05，P < 0.001)、1.07(95%CI：1.06~1.09，P < 0.001)和1.03(95%CI：1.01~1.04，P < 0.05)；但家庭支持对患者服药依从行为的影响差异无统计学意义(P=0.68)。 结论  家庭支持对患者的饮食控制、体育锻炼和血糖监测的行为有着作积极的作用，但对患者服药依从的作用较小；应探索构建医疗机构-社区-家庭全面的自我管理支持模式。

Association between family support and self-management behavior among patients with type 2 diabetes mellitus in China

  Objective  To evaluate the relationship between family support and self-management behaviors among patients with type 2 diabetes mellitus (T2DM) in Shandong province, China.  Methods  A multi-stage stratified random sampling was used and 2 520 patients with T2DM were selected from urban and rural and communities in Shandong province. The correlation between family support and self-management behavior were analyzed using logistic regression analysis.  Results  A total of 1 866 patients with T2DM prescribed with drug were included for analysis, comprising 938 patients from urban areas and 928 patients from rural area.The mean C-DFBC scores were (16.3±5.3).The Logistic regress analysis revealed that the family support was associated with the dietary control (OR=1.03, 95%CI: 1.01-1.05, P < 0.001), physical excise (OR=1.07, 95%CI: 1.06-1.09, P < 0.001) and blood monitoring(OR=1.03, 95%CI: 1.01-1.04, P < 0.05))but not with medication adherence (P=0.68).  Conclusion  The family support can improve the self-management indietary control, physical excise and blood monitoring.