CAJ | 학술논문

目的了解昆明市2型糖尿病患者的自我管理能力及其影响因素．方法对2010年11月至2012年4月到昆明医科大学第一附属医院糖尿病科就诊的2型糖尿病患者进行面对面问卷调查．采用台湾引进的糖尿病自我管理能力量表评价其自我管理水平，采用糖尿病心理测评量表（PAID5）测评其心理水平．结果共调查300人，收到有效问卷288份，其中男性120人（占41.8%），女性168人（占58.2%）；具有心理问题的有190人（占68%）．糖尿病患者的自我管理能力总得分为（95.23±20.6）分，其中一体化能力、自我效能、寻医能力、血糖监测判断能力和遵医行为5个维度的得分分别为（28.11±6.15）分、（25.22±5.67）分、（23.06±6.41）分、（10.98±2.96）分和（8.75±2.21）分，男性和女性之间得分差异无统计学意义（P＞0.05）；有心理问题患者的5个维度得分均低于无心理问题患者（P＜0.05）．多元线性回归分析结果显示，血糖值越高者，总的自我管理能力越低；月收入越高者，自我管理能力越高（P＜0.05）．结论昆明市2型糖尿病患者的自我管理能力欠佳，多数患者存在糖尿病相关心理问题，应加强其自我管理的健康教育．
목적료해곤명시2형당뇨병환자적자아관리능력급기영향인소．방법대2010년11월지2012년4월도곤명의과대학제일부속의원당뇨병과취진적2형당뇨병환자진행면대면문권조사．채용태만인진적당뇨병자아관리능역량표평개기자아관리수평，채용당뇨병심리측평량표（PAID5）측평기심리수평．결과공조사300인，수도유효문권288빈，기중남성120인（점41.8%），녀성168인（점58.2%）；구유심리문제적유190인（점68%）．당뇨병환자적자아관리능력총득분위（95.23±20.6）분，기중일체화능력、자아효능、심의능력、혈당감측판단능력화준의행위5개유도적득분분별위（28.11±6.15）분、（25.22±5.67）분、（23.06±6.41）분、（10.98±2.96）분화（8.75±2.21）분，남성화녀성지간득분차이무통계학의의（P＞0.05）；유심리문제환자적5개유도득분균저우무심리문제환자（P＜0.05）．다원선성회귀분석결과현시，혈당치월고자，총적자아관리능력월저；월수입월고자，자아관리능력월고（P＜0.05）．결론곤명시2형당뇨병환자적자아관리능력흠가，다수환자존재당뇨병상관심리문제，응가강기자아관리적건강교육．
Objective To investigate the diabetes self-management (DSM) ability and influencing factors in patients with type 2 diabetes in Kunming. Methods A face to face questionnaire survey was conducted on type 2 diabetes patients admitted in the 1st Affiliated Hospital of Kunming Medical University from November 2010 to April 2012. Diabetes self-management instrument ( DSMI) was used to test self-management behavior, and psychological status was assessed by Problem Areas in Diabetes (PAID-5).Results 300 patients participated in the survey.The participant population consisted of 120 males (41.8%) and 168 females (58.2%) .A total of 190 patients (68%) suffered from DM related psychological problems.The mean DSM score was 95.23±20.6, and mean scores for the domain of integration DM care into one’s life, self-regulations, interaction with health professionals,self-blood monitoring glucose,and adherence to recommended regimen were 28.11±6.15,25.22± 5.67,23.06±6.41,10.98±2.96,and 8.75±2.21,respectively. There was no significant difference in the mean score between males and females (P>0.05) .Patients with psychological problems had lower scores in five DSM dimensions than those without psychological problems (P<0.05) . The result of multiple regression showed higher level blood glucose was negatively associated with DSM score, whereas patients with higher income was associated with a higher DSM score (P<0.05) .Conclusions The DSM situation is not good among patients with type 2 diabetes in Kunming, and most of the patients suffer from psychological problem. It is necessary to enhance the effective health education among diabetic patients.