Objective To investigate the self-management level of patients with type 2 diabetes mellitus(DM) and its influencing factors,and to provide scientific basis for health education.Methods From June and December 2015,a total of 572 community patients with type 2 diabetes mellitus(DM)who were selected and investigated with the Diabetes Self-Care Scale(DSCS)in 6 communities of the city of Yinchuan.Results The mean score of self-management level was(94.91±15.75),and the score index were 70.3%. In each dimension, the maximum score index was medication compliance(78.9%),the minimum score index was treatment of hyperglycemia and hypoglycemia(63.8%). Single factor analysis showed that self-management level was associated with gender,education level,income,family history,duration,hospitalization history,treatment style,complications,and health education. Multiple factors analysis showed that hospitalization history,education level,duration,complications,treatment style,family history,gender and health education were the main influencing factors.Conclusion The current status of self-management in the type 2 Diabetic patients is not ideal,targeted interventions should be taken,to raise the level of self-management,prevent the complication and improve their life quality.%目的 了解社区2型糖尿病患者的自我管理水平及其影响因素,为社区开展科学合理的健康教育工作提供依据.方法 2015年6-12月采用系统随机抽样的方法抽取银川市兴庆区、金凤区、西夏区共6家社区卫生服务机构的572名2型糖尿病患者进行自我管理行为问卷调查.结果 社区2型糖尿病患者自我管理水平平均得分为(94.91±15.75)分,得分指标为70.3%.自我管理水平各维度中遵医嘱服药得分指标最高为78.9%,预防及高、低血糖处理得分指标最低为63.8%.自我管理水平的单因素影响分析显示,性别、文化程度、平均月收入、家族史、病程、住院史、治疗方式、是否有并发症以及是否接受过糖尿病健康教育活动是患者自我管理水平得分的影响因素;多因素分析结果显示,住院史、文化程度、病程、是否有并发症、治疗方式、家族史、性别以及是否接受过糖尿病健康教育活动是影响患者自我管理水平的重要因素.结论 社区2型糖尿病患者的自我管理水平现状还不够理想,社区医护工作人员应对患者开展有针对性的健康宣教,提高患者自我管理水平,控制并发症的发生,提高生活质量.
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