中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
Chinese Journal of Practical Nursing
2015年
23期
1761-1764
,共4页
社区卫生服务%糖尿病%回归分析%疾病关注
社區衛生服務%糖尿病%迴歸分析%疾病關註
사구위생복무%당뇨병%회귀분석%질병관주
Community health services%Diabetes mellitus%Regression analysis%Disease focus
目的 了解社区糖尿病患者对自身疾病的关注状况,为提高患者自我管理行为提供依据.方法 采用便利抽样法,应用“中国新型社区护理模式研究——社区慢性病的护理与管理”项目问卷对成都市两社区387例糖尿病患者进行问卷调查,分析患者对自身疾病的关注状况及影响因素.结果 56.1％(217/387)的患者对自身疾病状况知晓.单因素分析显示,不同社区(x2=40.858)、年龄(x2=8.138)、病程(x2=4.698)、糖尿病相关并发症及合并症(x2=31.643)、特殊门诊(x2=7.181)对患者疾病关注状况的影响有统计学意义,P＜ 0.01或＜0.05.Logistic回归分析结果表明,社区(Wald=35.953)、糖尿病相关并发症及合并症(Wald=20.068)、特殊门诊(Wald=7.192)对患者疾病关注状况的影响有统计学意义,均P＜0.01.结论 社区糖尿病患者对自身疾病状况关注不足,不同社区、医疗保险形式和糖尿病并发症及合并症影响其关注状况,提示社区应加强患者对疾病状况的关注意识,切实提高其自我管理行为.
目的 瞭解社區糖尿病患者對自身疾病的關註狀況,為提高患者自我管理行為提供依據.方法 採用便利抽樣法,應用“中國新型社區護理模式研究——社區慢性病的護理與管理”項目問捲對成都市兩社區387例糖尿病患者進行問捲調查,分析患者對自身疾病的關註狀況及影響因素.結果 56.1％(217/387)的患者對自身疾病狀況知曉.單因素分析顯示,不同社區(x2=40.858)、年齡(x2=8.138)、病程(x2=4.698)、糖尿病相關併髮癥及閤併癥(x2=31.643)、特殊門診(x2=7.181)對患者疾病關註狀況的影響有統計學意義,P＜ 0.01或＜0.05.Logistic迴歸分析結果錶明,社區(Wald=35.953)、糖尿病相關併髮癥及閤併癥(Wald=20.068)、特殊門診(Wald=7.192)對患者疾病關註狀況的影響有統計學意義,均P＜0.01.結論 社區糖尿病患者對自身疾病狀況關註不足,不同社區、醫療保險形式和糖尿病併髮癥及閤併癥影響其關註狀況,提示社區應加彊患者對疾病狀況的關註意識,切實提高其自我管理行為.
목적 료해사구당뇨병환자대자신질병적관주상황,위제고환자자아관리행위제공의거.방법 채용편리추양법,응용“중국신형사구호리모식연구——사구만성병적호리여관리”항목문권대성도시량사구387례당뇨병환자진행문권조사,분석환자대자신질병적관주상황급영향인소.결과 56.1％(217/387)적환자대자신질병상황지효.단인소분석현시,불동사구(x2=40.858)、년령(x2=8.138)、병정(x2=4.698)、당뇨병상관병발증급합병증(x2=31.643)、특수문진(x2=7.181)대환자질병관주상황적영향유통계학의의,P＜ 0.01혹＜0.05.Logistic회귀분석결과표명,사구(Wald=35.953)、당뇨병상관병발증급합병증(Wald=20.068)、특수문진(Wald=7.192)대환자질병관주상황적영향유통계학의의,균P＜0.01.결론 사구당뇨병환자대자신질병상황관주불족,불동사구、의료보험형식화당뇨병병발증급합병증영향기관주상황,제시사구응가강환자대질병상황적관주의식,절실제고기자아관리행위.
Objective To understand the diabetic patients' attention towards their disease and promote the implement of self-management behaviors.Methods The questionnaire designed by"The new community care model in China-community care and management about chronic disease" project was used to investigate 387 diabetic patients in two communities in Chengdu,understanding their attention situation to their disease and its' influenced factors.Results 56.1％(217/387) patients were aware of their own disease status.Univariate analysis showed that different communities (x2=40.858),age(x2=8.138),disease duration (x2=4.698),complications of diabetes (x2=31.643),special outpatient service (x2=7.181) had statistically significant influence on patients' attention towards their disease,P＜0.01 or ＜0.05.While Logistic regression analysis showed that different communities(Wald=35.953),complications of diabetes (Wald=20.068),special outpatient service (Wald=7.192) had statistically significant influence on patients' attention towards their disease.Conclusions The diabetic patients' attention towards their disease is insufficient in community,the factors include different communities,complications of diabetes,the medicare form,and it suggests that the community should focus on strengthening the patient's awareness of the disease situation,then effectively improve their self-management behavior.
