2型糖尿病患者自我效能的影响因素分析

李艳飞1 ，白娟1* ，李津2 ，鲁华鹏2

（1.榆林市星元医院，陕西 榆林，719000；2.西安交通大学医学部护理系，陕西 西安，710061）

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摘要：

目的 调查2 型糖尿病（T2DM）患者自我效能的现状，分析患者自我效能的影响因素，为提高其自我效能提供理论依 据。方法 采用随机抽样的方法选取201 例T2DM 患者为研究对象。采用一般资料调查表、慢性病自我效能量表调查T2DM 患 者自我效能情况，并分析自我效能的影响因素。结果 T2DM 患者症状管理自我效能维度评分为（6.58±2.21）分，疾病共性管理 自我效能维度评分为（6.86±1.63）分，自我效能总分（7.01±1.83）分；其中，9.5%的患者为低自我效能，90.5%的患者为中等及 以上自我效能。单因素分析结果表明，个人月收入、医疗保障形式、饮酒情况对自我效能有影响，差异具有统计学意义 （P<0.05）。结论 糖尿病患者自我效能处于中等水平，影响患者自我效能的因素主要为个人月收入、医疗保障形式及饮酒情况。

关键词：糖尿病；自我效能；影响因素

中图分类号：R473.5文献标志码：A文章编号：2096-1413(2018)06-0042-02

Factors analysis of self-efficacy in patients with type 2 diabetes mellitus


LI Yan-fei 1, BAI Juan 1 *, LI Jin 2, LU Hua-peng2
(1. Xingyuan Hospital of Yulin, Yulin 719000; 2. Nursing Department, Xi``an Jiaotong University Health Science Center, Xi``an 710061, China)

ABSTRACT: Objective To study the current situation of self-efficacy in patients with type 2 diabetes mellitus (T2DM), and analyze the influencing factors of self -efficacy, so as to provide the baseline data to improve self -efficacy of the patients. Methods With a random sampling method, 201 T2DM patients were selected as the study objects. The current situation of self-efficacy was investigate by general information questionnaire, self-efficacy scale for chronic diseases, and the influencing factors of self-efficacy were analyzed. Results In the T2DM patients, the score of symptoms management of self-efficacy was (6.58±2.21), the score of disease common management was (6.86±1.63), and the score of total self-efficacy score was (7.01±1.83). Among them, 9.5% of the patients were low self -efficacy, 90.5% of the patients were medium and above self -efficacy. The results of univariate analysis showed that the personal monthly income, medical insurance pattern and consumed alcohol had significant effects on self-efficacy (P<0.05). Conclusion The self-efficacy in patients with T2DM is at the medium level. Personal monthly income, medical insurance pattern and consumed alcohol are the influence factors of T2DM.
KEYWORDS: diabetes mellitus; self-efficacy; influence factors

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