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目的调查回族2型糖尿病患者自我管理行为水平,并探讨其相关影响因素。方法采用便利抽样法抽取宁夏回族聚居地区的2型糖尿病患者114例,问卷内容由一般资料和糖尿病患者自我管理行为组成。结果回族2型糖尿病患者自我管理行为平均得分为92.96分,得分指标是71.50%,高于已有汉族糖尿病患者相关得分的研究(P<0.001)。其中83.33%的患者处于中等自我管理水平,而处于良好自我管理水平者占9.65%,遵嘱用药得分最高,而规律锻炼和血糖监测得分较低。结论回族2型糖尿病患者自我管理行为总体处于中等水平。自我管理行为是糖尿病管理的基础,同时也是2型糖尿病患者血糖控制的预测因子,全面提高各维度的自我管理行为可维持血糖稳定,提升生活质量。
Objective To investigate the level of self-management of Hui patients with type 2 diabetes mellitus and to explore the related factors. Methods A total of 114 type 2 diabetic patients living inhabited by Hui ethnic group in Ningxia Hui Autonomous Region were sampled by convenience sampling method. The questionnaire consisted of general information and self-management behaviors of diabetic patients. Results The average score of self-management behavior of patients with type 2 diabetes in Hui nationality was 92.96, with a score of 71.50%, which was higher than that of the Han-related diabetic patients (P <0.001). Among them, 83.33% of patients were moderately self-managed, 9.65% were good self-management, the highest was obedience to medication, and the lower was regular exercise and glucose monitoring. Conclusion The self-management behavior of Hui type 2 diabetes patients is generally moderate. Self-management behavior is the basis of diabetes management, but also a predictor of glycemic control in patients with type 2 diabetes, and comprehensively improve self-management behavior in all dimensions to maintain stable blood glucose and improve quality of life.