【摘要】 目的探讨糖尿病患者自我管理水平和生存质量的相关性。方法采用描述性相关性研究,用密西根糖尿病管理评定量表(DCP)、密西根糖尿病知识测试问卷(DKT)和中国糖尿病患者生存质量特异性量表(DSQL)对214例1型和2型糖尿病患者进行问卷调查。结果(1)糖尿病患者的自我管理处于较高水平的因子有:自我管理能力、药物治疗问题、运动锻炼问题、对疾病的态度、自我管理坚持性及自我管理重要性认识;而较低水平的因子有:饮食依从性、血糖或尿糖检测问题、病情控制问题、糖尿病知识的理解自评及得分。(2)糖尿病患者生存质量的DSQL均值为(54.75±13.05)分,处于中等水平。(3)除血糖或尿糖检测问题因子外,自我管理水平的各个因子与生存质量的DSQL评分存在相关性(r=0.174~0.641,P<0.05),表现为患者在上述因子的自我管理水平越高,其生存质量水平越高。结论糖尿病患者自我管理水平普遍与生存质量存在中等程度的正相关。更多还原

【Abstract】 ObjectiveTo examine the relationship between self-management and quality of life in diabetics. MethodsA descriptive and correlation design was used in this study. 214 subjects completed the University of Michigan Diabetes Research and Training Center Diabetes Care Profile (DCP), the Diabetes Knowledge Test (DKT), and the Diabetes Patients’ Quality of Life in China (DSQL).Results(1) The diabetics reported higher levels of self-management for 6 of 11 domains. They were self-management ability, medical barriers, exercise barriers, attitude towards diabetes, self-management adherence, and importance of self-management. However, they reported lower levels of self-management for other 5 domains. They were diet adherence, monitoring barriers, control problems, understanding diabetes knowledge, and DKT scores. (2) The mean score of quality of life by DSQL was 54.75±13.05. (3) The absolute value of correlation coefficients between 10 domains’ mean scores of self-management (except of monitoring barriers) and DSQL total score ranged from 0.174 to 0.641. There was a positive correlation between self-management and quality of life in patients with diabetes. ConclusionOverall, most diabetics reported a moderate to low level of self-management and quality of life. There was a moderate and positive correlation between self-management and quality of life.更多还原