中华糖尿病杂志
中華糖尿病雜誌
중화당뇨병잡지
CHINES JOURNAL OF DLABETES MELLITUS
2014年
6期
372-376
,共5页
陈玉凤%孔维敏%楼青青%刘林%郭晓蕙%袁丽%孙子林%沈犁%赵芳
陳玉鳳%孔維敏%樓青青%劉林%郭曉蕙%袁麗%孫子林%瀋犛%趙芳
진옥봉%공유민%루청청%류림%곽효혜%원려%손자림%침리%조방
糖尿病,2型%病人教育%对疾病态度
糖尿病,2型%病人教育%對疾病態度
당뇨병,2형%병인교육%대질병태도
Diabetes mellitus,type 2%Patient education%Attitude to disease
目的 了解我国2型糖尿病患者对糖尿病的态度,并分析其相关因素,为实施糖尿病治疗和教育提供依据.方法 本研究为中华医学会糖尿病分会教育与管理学组进行大型多中心调查的一部分,采用一般资料调查表和汉化的第3版糖尿病态度量表,对全国31个省、自治区、直辖市的50个研究中心(144家三级、二级和社区医院)的6 043例2型糖尿病患者问卷调查.计量资料组间比较采用t检验或方差分析.结果 入组患者糖尿病态度总分为(3.76±0.30)分,各维度中得分最高者为医务人员接受糖尿病教育培训的必要性(4.32±0.49)分,最低者为严格控制血糖的受益(3.57±0.51)分.以是否接受过糖尿病教育进行分组分析,结果显示患者对糖尿病社会心理影响的态度(t=1.24)、糖尿病管理自主性的态度(t=0.42)组间差异均无统计学意义(均P＞ 0.05).不同特征患者态度量表总分的单因素分析显示,性别(t=-2.14)、文化程度(F=11.52)、病程(F=8.41)、有无并发症(F=16.83)、是否接受教育(t=6.33)组间差异有统计学意义(均P＜0.05).结论 糖尿病教育过程中需重视糖尿病社会心理的影响及糖尿病管理的自主性;糖尿病教育者应针对文化程度、有无并发症、病程及有否接受过糖尿病教育等情况,提供更加有效的个体化的糖尿病教育和管理,以改善患者对疾病的态度并改善预后.
目的 瞭解我國2型糖尿病患者對糖尿病的態度,併分析其相關因素,為實施糖尿病治療和教育提供依據.方法 本研究為中華醫學會糖尿病分會教育與管理學組進行大型多中心調查的一部分,採用一般資料調查錶和漢化的第3版糖尿病態度量錶,對全國31箇省、自治區、直轄市的50箇研究中心(144傢三級、二級和社區醫院)的6 043例2型糖尿病患者問捲調查.計量資料組間比較採用t檢驗或方差分析.結果 入組患者糖尿病態度總分為(3.76±0.30)分,各維度中得分最高者為醫務人員接受糖尿病教育培訓的必要性(4.32±0.49)分,最低者為嚴格控製血糖的受益(3.57±0.51)分.以是否接受過糖尿病教育進行分組分析,結果顯示患者對糖尿病社會心理影響的態度(t=1.24)、糖尿病管理自主性的態度(t=0.42)組間差異均無統計學意義(均P＞ 0.05).不同特徵患者態度量錶總分的單因素分析顯示,性彆(t=-2.14)、文化程度(F=11.52)、病程(F=8.41)、有無併髮癥(F=16.83)、是否接受教育(t=6.33)組間差異有統計學意義(均P＜0.05).結論 糖尿病教育過程中需重視糖尿病社會心理的影響及糖尿病管理的自主性;糖尿病教育者應針對文化程度、有無併髮癥、病程及有否接受過糖尿病教育等情況,提供更加有效的箇體化的糖尿病教育和管理,以改善患者對疾病的態度併改善預後.
목적 료해아국2형당뇨병환자대당뇨병적태도,병분석기상관인소,위실시당뇨병치료화교육제공의거.방법 본연구위중화의학회당뇨병분회교육여관이학조진행대형다중심조사적일부분,채용일반자료조사표화한화적제3판당뇨병태도량표,대전국31개성、자치구、직할시적50개연구중심(144가삼급、이급화사구의원)적6 043례2형당뇨병환자문권조사.계량자료조간비교채용t검험혹방차분석.결과 입조환자당뇨병태도총분위(3.76±0.30)분,각유도중득분최고자위의무인원접수당뇨병교육배훈적필요성(4.32±0.49)분,최저자위엄격공제혈당적수익(3.57±0.51)분.이시부접수과당뇨병교육진행분조분석,결과현시환자대당뇨병사회심리영향적태도(t=1.24)、당뇨병관리자주성적태도(t=0.42)조간차이균무통계학의의(균P＞ 0.05).불동특정환자태도량표총분적단인소분석현시,성별(t=-2.14)、문화정도(F=11.52)、병정(F=8.41)、유무병발증(F=16.83)、시부접수교육(t=6.33)조간차이유통계학의의(균P＜0.05).결론 당뇨병교육과정중수중시당뇨병사회심리적영향급당뇨병관리적자주성;당뇨병교육자응침대문화정도、유무병발증、병정급유부접수과당뇨병교육등정황,제공경가유효적개체화적당뇨병교육화관리,이개선환자대질병적태도병개선예후.
Objective To assess the attitudes toward diabetes and the related factors of the attitudes among patients with type 2 diabetes in China.Methods This study was a part of a multi-centre,crosssectional,questionnaire based survey conducted by Diabetes Education and Management Group of China Diabetes Society.This study involved 6 043 patients with type 2 diabetes was conducted in 50 medical centers among 31 administrative divisions in mainland China (144 tertiary,secondary and community hospitals were included).The information of demographic characteristics and diabetes attitudes was collected by general questionnaire and the diabetes attitude scale-3 formula.Independent t test and one-way analysis of variance (ANOVA) were used to compare quantitative data among groups.Result The score of patients' attitude to diabetes was 3.76 ±0.30.The mean scores of 5 subscales ranged from 3.57 ±0.51 for 'value of tight control' to 4.3 ± 0.49 for 'need for special training'.There was no significant difference in'psychosocial impact of diabetes' (t =1.24) and ' patient autonomy' (t =0.42) between patients with diabetes education and without(both P ＜ 0.05).The score of patients' attitudes to diabetes was significantly associated with sex (t =-2.14),level of education (F =11.52),duration of diabetes (F =8.41),diabetes complication (F =16.83),receiving diabetes education or not (t =6.33) (all P ＜ 0.05).Conclusions It is important to emphasis on the psychosocial impact of diabetes and patient autonomy.Diabetes education should be individualized based on the level of education of the patients,duration of diabetes,receiving diabetes education or not,so as to improve patients' attitudes toward diabetes and improve the prognosis.
