Objective To compare the self - management behavior and quality of life between fasting and non - fasting Hui patients with diabetes,and to provide evidence for the self - management of Hui patients with diabetes. Methods A total of 85 Hui patients with diabetes,who were treated in a medical institution from June 18th to July 17th in 2015(month of fasting), were divided into fasting group(n = 40)and non - fasting group(n = 45)according to whether they were fasting. A face - to -face survey was conducted with questionnaire method. The questionnaire was divided into 3 parts:basic condition,Type 2 Diabetes Self - care Scale(2 - DSCS)and Diabetes Specific Quality of Life(DSQL). 85 questionnaires were distributed and 85 valid questionnaires were collected. The effective response rate was 100. 0% . Results There were significant differences in dimensional scores of diet control,medication compliance,blood glucose monitoring,foot care,prevention and treatment of high/ low blood sugar and total scores of self - management behavior between two groups and national norm group(P < 0. 05), while there was no significant difference in the score of regular exercise dimension(P > 0. 05);the dimensional scores of diet control,medication compliance,blood glucose monitoring,foot care,prevention and treatment of high/ low blood sugar and total scores of self - management behavior in fasting group and non - fasting group were significantly higher than those in national norm group(P < 0. 05);the dimensional scores of foot care and prevention and treatment of high/ low blood sugar and total scores of self - management behavior in fasting group were significantly lower than those in non - fasting group(P < 0. 05). The scores of physiology and treatment dimensions and the total scores of quality of life in fasting group were significantly higher than those in non - fasting group( P < 0. 05);there was no significant difference in the score of psychology/ spirit and social relationship dimensions between the two groups(P > 0. 05). Conclusion The self - management behavior of Hui patients with diabetes is good on the whole. The performance of fasting diabetic patients in foot care,prevention and treatment of high/ low blood sugar and overall self - management behavior is worse than that of non - fasting diabetic patients and their performance of physiology, treatment and overall quality of life is also lower than that of non - fasting diabetic patients. Therefore,during the month of fasting,special attention should be paid to the management and guidance of fasting diabetic patients so as to improve their self -management ability and quality of life.%目的：比较斋戒与非斋戒回族糖尿病患者自我管理行为及生存质量，为回族糖尿病患者自我管理的指导提供依据。方法选取2015-06-18至2015-07-17（斋月）在某医疗机构就诊的回族糖尿病患者85例，根据是否斋戒分为斋戒组（n =40）和非斋戒组（n =45）。采用问卷调查法，对患者进行面对面调查。问卷分为基本情况、2型糖尿病自我管理行为量表（2- DSCS）和糖尿病生存质量特异性量表（DSQL）3部分。共发放问卷85份，回收有效问卷85份，有效回收率为100.0%。结果两组及国内常模的饮食控制、遵医嘱服药、血糖监测、足部护理、预防和处理高/低血糖维度得分及自我管理行为总分间差异有统计学意义（P <0.05），而规律锻炼维度得分间差异无统计学意义（P >0.05）；其中斋戒组、非斋戒组饮食控制、遵医嘱服药、血糖监测、足部护理、预防和处理高/低血糖维度得分及自我管理行为总分高于国内常模，差异有统计学意义（ P <0.05）；斋戒组足部护理、预防和处理高/低血糖维度得分及自我管理行为总分低于非斋戒组，差异有统计学意义（P <0.05）。斋戒组生理、治疗维度得分及生存质量总分高于非斋戒组，差异有统计学意义（ P <0.05）；两组心理/精神、社会关系维度得分间差异无统计学意义（ P >0.05）。结论回族糖尿病患者自我管理行为整体较好。斋戒糖尿病患者在足部护理、预防和处理高/低血糖以及总体自我管理行为方面均较非斋戒糖尿病患者低，而且生理、治疗及总体生存质量亦较非斋戒糖尿病患者低。因此，在斋月期间要特别关注对斋戒糖尿病患者的管理与指导，以提高患者的自我管理能力及生存质量。
展开▼
