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目的了解农村Ⅱ型糖尿病患者糖尿病知识及自我管理水平。方法采取随机整群抽样的方法对456名农村Ⅱ型糖尿病患者,采用统一的调查量表,进行糖尿病知识和自我管理水平问卷调查。结果农村Ⅱ型糖尿病患者疾病知识平均得分(42.93±1.50)分;自我管理总分平均值为(76.90±9.92)分,得分率为58.79%。6项因子的得分率依次为:遵医嘱服药(80.38%)、足部护理(60.85%)、饮食控制(59.06%)、高低血糖的处理(56.94%)、运动自我管理(52.25%)、血糖监测(48.59%)。经Pearson相关分析,自我管理6项因子均与糖尿病知识均成正相关,各项相关系数均有统计学意义(P<0.01)。结论农村Ⅱ型糖尿病患者糖尿病知识和自我管理水平有待提高,应采取多种形式进一步加强疾病相关知识的健康教育,提高自我管理水平。
Objective To understand the diabetes knowledge and self-management level in patients with type 2 diabetes in rural areas. Methods A random sample of 456 rural patients with type 2 diabetes mellitus was recruited. A standardized questionnaire was used to investigate the knowledge and self-management of diabetes mellitus. Results The average score of disease knowledge in patients with type Ⅱ diabetes in rural areas was 42.93 ± 1.50 and the average score of self-management was 76.90 ± 9.92 with a score of 58.79%. The scores of six factors were as follows: 80.38% of the patients were prescribed medication, 60.85% of the patients were nursing the feet, 59.06% of the patients were controlled by the diet, 56.94% were high and low blood sugar, 52.25% Monitoring (48.59%). According to Pearson correlation analysis, all six factors of self-management were positively correlated with diabetes knowledge, and all the correlation coefficients were statistically significant (P <0.01). Conclusion The level of knowledge and self-management of diabetes mellitus need to be improved in patients with type 2 diabetes mellitus. Health education should be further strengthened in various forms to improve the self-management level.