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目的了解我国六省(市)医务人员的糖尿病自我管理知识技能水平及其影响因素,为进一步完善医务人员培训工作、开展社区糖尿病患者自我管理小组活动提供参考依据。方法以北京、上海、重庆、江苏、浙江和广东6省(市)参加2013年“中国糖尿病综合管理项目”(CIDE项目)的648名医务工作者作为调查对象,通过问卷调查收集调查对象的人口学特征和糖尿病自我管理知识技能等信息,并对其糖尿病自我管理知识技能水平和影响因素进行分析。结果本次调查共发出问卷670份,收回有效问卷648份,有效应答率为96.7%。与糖尿病自我管理知识技能密切相关的各题目中,正确应答率最高的是胰岛素治疗的常识和误区,为89.0%,最低的是自我管理的任务,为25.6%。调查对象的糖尿病自我管理知识技能总得分的平均分为(55.09±20.77)分。多重线性回归模型分析结果显示,糖尿病自我管理知识技能总得分的影响因素包括性别(β=4.84)、文化程度(β=5.03)、工作单位中二级及以上综合性医院相对于社区卫生服务中心或乡镇卫生院(β=12.15)、市或省级疾病预防控制(CDC)系统相对于社区卫生服务中心或乡镇卫生院(β=14.20)和既往参加过CIDE项目省级培训(β=5.00)。结论医务人员的糖尿病自我管理知识技能水平有待提高,今后应加强足部护理技巧、血糖监测频率、胰岛素注射部位等方面的培训,还应重点关注文化程度低、工作年限短的基层医务人员的糖尿病自我管理知识技能培训。
Objective To understand the level of diabetes self-management knowledge and skills of medical staff in six provinces (municipalities) and its influencing factors in our country, and to provide reference for further improving the training of medical staff and carrying out self-management group activities of community diabetes patients. Methods A total of 648 medical workers participating in the 2013 China Diabetes Integrated Management Project (CIDE project) in Beijing, Shanghai, Chongqing, Jiangsu, Zhejiang and Guangdong provinces and municipalities were surveyed, and questionnaires were used to collect the surveyed participants Demographic characteristics and diabetes self-management knowledge and skills and other information, and to analyze the level of diabetes self-management knowledge and skills and influencing factors. Results The survey sent a total of 670 questionnaires, 648 valid questionnaires were retrieved, the effective response rate was 96.7%. Of the subjects closely related to diabetes self-management knowledge and skills, the highest correct response rate was common sense and misunderstanding of insulin therapy, which was 89.0%, while the lowest self-management task was 25.6%. The average score of the total self-management knowledge and skills of diabetic subjects was (55.09 ± 20.77) points. The results of multiple linear regression analysis showed that the total score of self-management knowledge and skills of diabetes factors including gender (β = 4.84), education level (β = 5.03), the second and above general hospitals in the workplace relative to the community health service center Or township hospitals (β = 12.15), municipal or provincial CDC systems compared with community health centers or township hospitals (β = 14.20) and former CIDE provincial training programs (β = 5.00) . Conclusion The level of self-management knowledge and skills needs to be improved for medical staff. Training on foot care skills, frequency of blood sugar monitoring and insulin injection should be strengthened in the future. Attention should also be paid to diabetes in primary health care workers with low education level and short working life Self-management knowledge and skills training.