CAJ | 학술논문

目的：探讨影响糖尿病患者自我管理相关因素及全程健康教育护理效果。方法对2012年5月~2014年1月新昌县人民医院收治的248例糖尿病患者的临床资料进行回顾性分析，根据护理方式分为两组，并比较两组血糖控制率、糖尿病知识掌握率、自我管理率、患者满意度。结果糖尿病知识得分、自我效能、社会支持、年龄、文化程度是糖尿病患者自我管理的独立影响因素。观察组血糖控制率、糖尿病知识掌握率、自我管理率、患者满意度均高于对照组，差异具有统计学意义(P<0.05)。结论患者的年龄、文化程度、糖尿病认知、自我效能及社会支持是糖尿病自我管理的主要影响因素，临床上可进行全程健康教育护理，提高患者的糖尿病知识掌握度，优化自我管理水平。
목적：탐토영향당뇨병환자자아관리상관인소급전정건강교육호리효과。방법대2012년5월~2014년1월신창현인민의원수치적248례당뇨병환자적림상자료진행회고성분석，근거호리방식분위량조，병비교량조혈당공제솔、당뇨병지식장악솔、자아관리솔、환자만의도。결과당뇨병지식득분、자아효능、사회지지、년령、문화정도시당뇨병환자자아관리적독립영향인소。관찰조혈당공제솔、당뇨병지식장악솔、자아관리솔、환자만의도균고우대조조，차이구유통계학의의(P<0.05)。결론환자적년령、문화정도、당뇨병인지、자아효능급사회지지시당뇨병자아관리적주요영향인소，림상상가진행전정건강교육호리，제고환자적당뇨병지식장악도，우화자아관리수평。
Objective To explore relevant factors influencing self-management of diabetic patients and the effects on whole course health education and nursing. Methods Clinical data of 248 diabetic patients who were admitted to Peo-ple's Hospital of Xinchang County from May 2012 to January 2014 were retrospectively analyzed. They were assigned to two groups according to their nursing methods. Control rate of blood sugar, master rate of knowledge on diabetes,self-management rate and satisfaction of patients were compared between both groups. Results Scores of knowledge on diabetes, self-efficacy, social support, age and cultural background were independent influencing factors for self-management of diabetic patients. Control rate of blood sugar, master rate of knowledge on diabetes, self-management rate and satisfaction of patients in the observation group were all higher than those in the control group, and the dif-ferences were statistically significant (P<0.05). Conclusion Patients' age,cultural background,knowledge on diabetes,self-efficacy and social support are main influencing factors for self-management of diabetes. In clinical settings,whole course health education and nursing can be carried out, so as to improve patients' master rate of knowledge on diabetes,and optimize self-management levels.