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目的:了解社区糖尿病患者社会资源利用状况及与自我管理行为的关系。方法:使用中文慢性病资源问卷对社区2013年4月-2014年3月糖尿病患者82例进行调查。结果:经过研究发现社区糖尿病患者对资源的利用还不够理想,主要表现在社会团体、家人朋友、自我调整资源等。但是对社区邻里、医护人员资源的利用比较好。资源的使用情况、分量表、血糖监测、体育锻炼情况以及膳食情况都呈现一定的关系。资源的使用情况、医护人员和自我调整与糖化血红蛋白呈负相关(P<0.05)。结论:糖尿病患者对资源的利用情况并不理想,社区医护人员对糖尿病患者制定的饮食计划,并且实施都有着很重要的影响。建立良好的社区环境能够增强糖尿病患者运动锻炼,所以社区医护人员要对糖尿病患者进行适当的指导,并且充分合理的利用社会资源,提升自我管理行为,这样才能够有效的控制病情的发展。
Objectives: To understand the utilization of social resources in community diabetic patients and the relationship with self-management behavior. Methods: A total of 82 diabetic patients from April 2013 to March 2014 in the community were surveyed using the Chinese chronic disease resource questionnaire. Results: After the study found that community use of resources of diabetic patients is not ideal, mainly in social groups, family and friends, self-adjusting resources. However, the use of resources for medical staff is good for community neighborhoods. Resource utilization, subscales, blood glucose monitoring, physical activity and dietary conditions all show a relationship. The use of resources, health care workers and self-adjustment were negatively correlated with glycosylated hemoglobin (P <0.05). Conclusion: The utilization of resources by diabetic patients is not ideal, and community health workers have a very important influence on the diet plan formulated by diabetic patients and their implementation. Establishing a good community environment can enhance the exercise of patients with diabetes. Therefore, community health workers should give appropriate guidance to patients with diabetes and make full and rational use of social resources to enhance their self-management behaviors so as to effectively control the development of the disease.