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目的了解城乡糖尿病老年患者自我管理现状及其影响因素,为采取应对措施提供理论依据。方法采用自行设计的一般人口学调查表及成年人健康自我管理行为问卷(AHSMSRS)、症状自评量表(SCL-90)、生活能力量表(ADL)、生活质量量表(SF-36)对河北省城乡6 173名老年人进行健康自我管理行为评测。结果共有糖尿病老年人1 062例,占17.2%。健康自我管理行为评分为(50.29±10.622)分。多因素分析显示,城乡、受教育程度、健康状况、日常生活能力、心理症状及睡眠障碍与否是糖尿病老年人健康自我管理行为的影响因素。结论河北省城乡糖尿病老年人自我管理行为有待提升,应加大健康教育力度,促进其自我管理水平的提高。
Objective To understand the status quo of self-management of elderly patients with diabetes mellitus and its influencing factors in urban and rural areas and provide a theoretical basis for taking countermeasures. Methods The self-designed general demographic questionnaire and Adult Health Self-Management Behavior Questionnaire (AHSMSRS), Symptom Checklist 90 (SCL-90), Life Support Scale (ADL), Quality of Life Scale (SF-36) The healthy self-management behavior of 6 173 elderly people in urban and rural areas of Hebei Province was evaluated. Results A total of 1 062 elderly patients with diabetes, accounting for 17.2%. Health self-management behavior score was (50.29 ± 10.622) points. Multivariate analysis showed that urban and rural areas, education, health status, daily living ability, psychological symptoms and sleep disorders or not are the influencing factors of health self-management behavior of elderly with diabetes. Conclusion Self-management of diabetes mellitus in urban and rural areas in Hebei needs to be improved. Health education should be stepped up to promote self-management.