糖尿病前期患者自我效能及影响因素分析

目的 调查门诊体检糖尿病前期患者自我效能现状及影响因素，为糖尿病前期预防及干预提供依据。 方法 2014年7月- 2014年12月，采用一般情况调查表、一般自我效能量表、糖尿病前期知识—行为问卷、社会支持量表、医学应对问卷等对郑州市某三级综合医院门诊体检217例糖尿病前期患者进行自我效能及影响因素的调查研究。 结果 糖尿病前期患者自我效能总分为（25.35± 4.00）分。多元逐步回归分析显示主观支持、回避、年龄是自我效能的影响因素，可解释自我效能39.6%的变异。 结论 门诊体检糖尿病前期患者自我效能总体处于中等水平，有待提高；护理人员在进行糖尿病前期健康指导时，要加强患者的社会支持及应对方式，可提高糖尿病前期患者自我效能；对青年、中年糖尿病前期患者应给予重点关注。

Influencing factors for prediabetes patients' self-efficacy in outpatient

Objective The aim of this study was to investigate the current situation of prediabetes patients' self-efficacy and its influencing factors. Methods From July 2014 to December 2014, unified questionnaires were used to investigate the self-efficacy of 217 prediabetes patients and its influencing factors. Results The total score of self-efficacy was (25.35± 4.00). Multiple regression analysis showed that subjective social support, medical coping style, age and marriage were significant influencing factors of prediabetes patients' self-efficacy, which could explain 26.3% of the variance. Conclusion The total score of self-efficacy of prediabetes patients was at middle level. Enhancing patients' social support and coping style may improve their self-efficacy. Nurses should pay more attention to the young and middle-aged, patients with prediabetes.