老年糖尿病患者健康素养与治疗依从性现状及相关性

发布时间：2018-03-09 23:22

本文选题：糖尿病　切入点：健康素养　出处：《中国老年学杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的探讨老年糖尿病患者健康素养与治疗依从性现状及其相关性。方法糖尿病患者300例,应用健康素养量表和糖尿病治疗依从性量表调查患者健康素养和治疗依从性情况,应用多元逐步回归分析健康素养和治疗依从性的影响因素,应用Spearson相关性分析健康素养与治疗依从性的相关性。结果健康素养缺乏者为67例,临界健康素养者30例,健康素养充足者203例;治疗依从性总得分(50.49±5.24)分,其中遵医依从性得分(17.23±0.74)分,服药依从性得分(16.07±0.75)分,健康行为依从性得分(8.84±1.03)分,饮食依从性得分(7.74±0.79)分;多元逐步回归分析显示:性别、年龄、配偶、医疗保险、病程及并发症是健康素养的影响因素(P0.05),年龄、配偶、工作状况、文化程度、经济收入、病程是治疗依从性的影响因素(P0.05);相关性分析显示:总健康素养和阅读素养与遵医依从性、服药依从性、健康行为依从性呈正相关(P0.05);理解能力与遵医依从性、服药依从性、健康行为依从性、饮食依从性呈正相关(P0.05),运算能力与遵医依从性、服药依从性、健康行为依从性呈正相关(P0.05),总健康素养、阅读素养、运算能力与饮食依从性无相关(P0.05)。结论老年糖尿病患者健康素养水平较高,但是存在部分健康素养缺乏,饮食和健康行为治疗依从性差。
[Abstract]:Objective to investigate the elderly patients with diabetes health literacy and treatment compliance status and correlation. Methods 300 cases of patients with diabetes, application of health literacy scale and diabetes treatment compliance questionnaire of health literacy and treatment compliance of patients, using multiple stepwise regression analysis of influencing factors of health literacy and treatment compliance, using Spearson correlation analysis method of health quality and compliance of treatment. Results the lack of health literacy was 67 cases, 30 cases of 203 cases of critical health literacy, health literacy is sufficient; treatment compliance score (50.49 + 5.24) points, including compliance score (17.23 + 0.74), compliance score (16.07 + 0.75) points, health behavior compliance score (8.84 + 1.03), diet compliance score (7.74 + 0.79); multiple stepwise regression analysis showed that gender, age, spouse, medical insurance, course and complications is Influence factors of health literacy (P0.05), age, spouse, work status, education level, income, duration of influencing factors of treatment compliance (P0.05); correlation analysis showed that the total health and literacy and compliance, medication compliance and health behavior compliance was positively related (P0.05); understanding and compliance, compliance, compliance and health behavior, diet compliance was positively related (P0.05), operation ability and compliance, compliance, compliance was positively related to health behavior (P0.05), total health literacy, reading literacy, operation ability and diet compliance related (P0.05) in elderly patients with diabetes. Conclusion the health literacy level is high, but there are some lack of health literacy, diet and health behaviors of poor treatment compliance.

【作者单位】：郑州铁路职业技术学院医学技术系;
【分类号】：R587.1

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