自我管理小组活动对糖尿病患者自我效能影响因素分析

发布时间：2018-03-27 23:26

本文选题：糖尿病　切入点：自我管理　出处：《中国公共卫生》2016年05期

【摘要】：目的评估糖尿病患者参加自我管理小组活动前后自我效能的改变情况,分析其影响因素,为完善自我管理小组活动效果提供相关依据。方法将参加中国糖尿病综合管理项目2014年社区糖尿病患者自我管理小组活动的所有糖尿病患者(1 509人)为研究对象,通过活动前后两次问卷调查了解患者的基本信息和自我效能得分情况,采用多重线性回归分析干预效果的影响因素。结果自我管理小组活动后,糖尿病患者自我效能总体得分(101.19±18.91)分高于活动前(85.88±20.99)分,差异有统计学意义(t=30.04,P0.01)。多因素分析结果显示,参加小组活动的次数(β=0.87)、有社区医生参加(β=5.69)及自觉所学知识和技能有用(β=7.16)与自我效能得分的提升呈正相关;自评活动内容较难理解(β=-3.84)与自我效能得分的提升呈负相关。结论自我管理小组活动可以提高糖尿病患者的自我效能,患者参加小组活动的次数、对活动内容的理解程度等是影响糖尿病患者自我效能提高的因素。
[Abstract]:Objective to evaluate the changes of self-efficacy in diabetic patients before and after self-management group activities, and to analyze the influencing factors. In order to improve the effect of self-management group activities, we selected 1,509 diabetes patients who participated in the self-management group activities of diabetes patients in the community of China Diabetes Integrated Management Project in 2014. The basic information and self-efficacy scores of the patients were investigated by two questionnaires before and after the activities, and the influencing factors of the intervention effect were analyzed by multiple linear regression analysis. Results after the self-management group activities, The total score of self-efficacy of diabetic patients was 101.19 卤18.91 and 85.88 卤20.99 before exercise, and the difference was statistically significant (30.04 卤P 0.01). The number of group activities (尾 0.87), the participation of community doctors (尾 5.69) and the self-knowledge and skill usefulness (尾 7.16) were positively correlated with the improvement of self-efficacy. Conclusion Self-management group activities can improve the self-efficacy of diabetic patients, and the patients participate in group activities, and the scores of self-evaluation activities are negatively correlated with the self-evaluation activities (尾 -3.84). Conclusion the self-management group activities can improve the self-efficacy of diabetic patients, and the patients participate in group activities. The degree of understanding of activity content is the factor that affects self-efficacy of diabetic patients.
【作者单位】：中国疾病预防控制中心慢性非传染性疾病预防控制中心;
【分类号】：R473.5

【参考文献】