CAJ | 학술논문

目的：探讨影响2型糖尿病患者自我效能的因素。方法于南京市某三级甲等医院门诊用便利抽样方法抽取435例个案管理2型糖尿病患者，用中文版糖尿病管理自我效能量表进行患者自我效能的测量。采用单因素分析影响自我效能的因素、将有统计学意义的因素运用线性回归分析。结果435例初次进入个案管理的2型糖尿病患者自我效能得分为（132.28±38.66）分，63.9%处于中等水平；多元逐步回归显示：糖尿病教育、并发症种类、文化程度为2型糖尿病患者自我效能的影响因素。结论初次进入个案管理的2型糖尿病患者自我效能有待改善；需加强文化程度较低患者的自我管理教育，尤其在糖尿病患病早期，提高患者对疾病的重视程度，改善自我效能，减少糖尿病并发症的发生，减轻患者的生理、心理、经济负担。
목적：탐토영향2형당뇨병환자자아효능적인소。방법우남경시모삼급갑등의원문진용편리추양방법추취435례개안관리2형당뇨병환자，용중문판당뇨병관리자아효능량표진행환자자아효능적측량。채용단인소분석영향자아효능적인소、장유통계학의의적인소운용선성회귀분석。결과435례초차진입개안관리적2형당뇨병환자자아효능득분위（132.28±38.66）분，63.9%처우중등수평；다원축보회귀현시：당뇨병교육、병발증충류、문화정도위2형당뇨병환자자아효능적영향인소。결론초차진입개안관리적2형당뇨병환자자아효능유대개선；수가강문화정도교저환자적자아관리교육，우기재당뇨병환병조기，제고환자대질병적중시정도，개선자아효능，감소당뇨병병발증적발생，감경환자적생리、심리、경제부담。
Objective To investigate influencing factors of self-efficacy of patients with type 2 diabetes mellitus. Methods Totally 435 type 2 diabetes patients under case management chosen by convenience sampling were investigated with the Chinese Version of Diabetes Management Self-efficacy Scale (C-DMSES). Results Score of self-efficacy of 435 patients was 132.28 ±38.66, and 63.9%of the patients’ self-efficacy was in moderate level;linear regression showed that diabetes education, quantity of complications, educational background were influencing factors of diabetes patients ’ self-efficacy. Conclusion Patients’ self-efficacy remains to be improved in the case management patients with diabetes, and self-management needs to be strengthened to improve their self-efficacy, which can improve patients ’ self management behavior, such as visiting a doctor, blood sugar monitoring, diet control and active exercise.