中华护理杂志 ›› 2024, Vol. 59 ›› Issue (9): 1057-1064.DOI: 10.3761/j.issn.0254-1769.2024.09.005

• 糖尿病护理专题 • 上一篇    下一篇

糖尿病前期患者自我管理潜在剖面分析及影响因素研究

丁慧敏(), 戴莉敏(), 蔡冬青, 杨群   

  1. 212013 江苏省镇江市 江苏大学附属人民医院内分泌科
  • 收稿日期:2023-06-26 出版日期:2024-05-10 发布日期:2024-04-28
  • 通讯作者: 戴莉敏,E-mail:15052810839@163.com
  • 作者简介:丁慧敏:女,本科(硕士在读),主管护师,E-mail:1130317841@qq.com
  • 基金资助:
    镇江市社会发展科技计划项目(FZ2022092);镇江市社会发展科技计划项目(FZ2022096)

Potential profile analysis and influencing factors of self-management in prediabetic patients

DING Huimin(), DAI Limin(), CAI Dongqing, YANG Qun   

  • Received:2023-06-26 Online:2024-05-10 Published:2024-04-28

摘要:

目的 探讨糖尿病前期患者自我管理行为的潜在类别特征,并分析不同潜在类别的影响因素。方法 采用便利抽样法,选取2022年9月—2023年6月在江苏省某2所三级甲等综合医院体检中心及内分泌门诊治疗的糖尿病前期患者作为调查对象。采用一般资料调查表、糖尿病前期疾病知识问卷、糖尿病前期自我管理量表、糖尿病自我效能量表及社会支持评定量表进行调查。结果 共纳入445例调查对象,年龄为(44.92±4.98)岁。最终识别出4个自我管理行为的潜在类别,分别为低自我管理型(16.4%)、静态自我管理型(19.1%)、动态自我管理型(25.6%)和高自我管理型(38.9%)。职业状况、婚姻状况、家庭人均月收入、糖尿病家族史、疾病知识、自我效能、社会支持是糖尿病前期患者自我管理行为的影响因素(P<0.05)。结论 糖尿病前期患者的自我管理行为存在显著的类别特征,医护人员可早期识别各类别特征及影响因素,为医护人员制订针对性的临床干预措施提供依据,以帮助患者提高自我管理水平。

关键词: 糖尿病前期, 自我管理, 潜在剖面分析, 影响因素分析, 护理

Abstract:

Objective To explore the potential categories of self-management behavior in prediabetes patients and analyze the influencing factors of different potential categories. Methods A convenient sampling method was used to select pre-diabetic patients treated in physical examination centers and endocrinology outpatient clinics in 2 tertiary A hospitals in Jiangsu Province from September 2022 to June 2023. General data questionnaire,Prediabetic Disease Knowledge Questionnaire,Prediabetes Self-management Scale,Diabetes Self-efficacy Scale and Social Support Rating Scale were used for investigation. Results A total of 445 subjects were included in this study,with an average age of(44.92±4.98) years. 4 potential categories of self-management behavior were identified,namely low self-management(16.4%),static self-management(19.1%),dynamic self-management(25.6%) and high self-management(38.9%). Occupational status,marital status,family per capita monthly income,family history of diabetes,disease knowledge,self-efficacy and social support were the influencing factors of self-management behavior in prediabetes patients(P<0.05). Conclusion There are significant category characteristics of self-management behavior in patients with prediabetes. Medical staff can identify the category characteristics and influencing factors early,and provide bases for medical staff to formulate targeted clinical intervention measures to help patients improve their self-management level.

Key words: Pre-Diabetes, Self-Management, Potential Profile Analysis, Root Cause Analysis, Nursing Care