社区糖尿病患者健康信息获取行为与健康状况的相关性研究
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摘要
目的探讨社区糖尿病患者健康信息获取行为与健康状况的相关性,为社区医护人员进行糖尿病健康教育提供参考依据。方法采用方便抽样法,抽取长春市3个社区的2型糖尿病患者180例作为研究对象,采用HISB量表、SF-36问卷对其进行调查。结果本研究最终纳入社区糖尿病患者176例,其糖尿病HISB总分为(51.40±9.66)分;SF-36健康状况得分为(100.14±9.54)分。不同年龄、文化程度、病程及有无并发症患者HISB得分比较,差异均有统计学意义(均P<0.05)。糖尿病患者并发症、病程、获取信息的互联网渠道、获取信息的主观障碍因素、年龄对其健康状况有影响(P<0.01),这5个因素共同解释健康状况的31.0%。结论社区糖尿病患者健康信息获取行为处于中等水平,应加强社区卫生服务机构人员配置、改变健康教育方式、采用互联网等多渠道结合途径开展医疗卫生服务,提高社区糖尿病患者的健康信息获取能力,提升其生活质量。
Objective To explore the correlation between health information seeking behavior and health status among patients with diabetes mellitus in community, and to provide basis for diabetes health education for community health care workers. Methods By using convenience sampling, 180 patients with type 2 diabetes from 3 communities in Changchun were selected as research subjects. HISB and SF-36 were used to investigate their health information seeking behavior and health status. Results Our study finally included 176 patients with diabetes in the community. The total score of HISB for diabetes was(51.40 ±9. 66) point, the score of SF-36 health status was( 100.14 ± 9. 54) point. The differences in HISB scores were statistically significant among different ages, education levels, disease duration, and complications(all P<0.05). Complications, duration of disease, internet access to information, subjective barriers to accessing information,and age had impact on their health status(P < 0.01). Conclusion The health information seeking behavior of patients with diabetes mellitus in community were at moderate level. Improving their health information seeking ability and quality of life of diabetes patients in community should be dealt by strengthening community health service, changing health education methods, and combining multi-channel and Internet
Objective To explore the correlation between health information seeking behavior and health status among patients with diabetes mellitus in community, and to provide basis for diabetes health education for community health care workers. Methods By using convenience sampling, 180 patients with type 2 diabetes from 3 communities in Changchun were selected as research subjects. HISB and SF-36 were used to investigate their health information seeking behavior and health status. Results Our study finally included 176 patients with diabetes in the community. The total score of HISB for diabetes was(51.40 ±9. 66) point, the score of SF-36 health status was( 100.14 ± 9. 54) point. The differences in HISB scores were statistically significant among different ages, education levels, disease duration, and complications(all P<0.05). Complications, duration of disease, internet access to information, subjective barriers to accessing information,and age had impact on their health status(P < 0.01). Conclusion The health information seeking behavior of patients with diabetes mellitus in community were at moderate level. Improving their health information seeking ability and quality of life of diabetes patients in community should be dealt by strengthening community health service, changing health education methods, and combining multi-channel and Internet
引文
[1] International Diabetes Federation. IDF Diabetes Atlas 7th edition[DB/OL].(2015-12-01)[2017-08-27]. http://www. diabetesatlas. org.
[2]徐瑜,毕宇芳,王卫庆,等.中国成人糖尿病流行与控制现状:2010年中国慢病监测及糖尿病专题调查报告解读[J].中华内分泌代谢杂志,2014,30(3):184-186.
[3]Gomes LC, Coelho ACM, dos Santos Gomides D, et al. Contribution of family social support to the metabolic control of people with diabetes mellitus:a randomized controlled clinical trial[J]. Appl Nurs Res,2017,36:68-76.
[4]国务院办公厅.国务院办公厅关于印发中国防治慢性病中长期规划(2017—2025年)的通知[EB/OL].(2017-02-14)[2017-08-27]. http://www. gov. cn/zhengce/content/2017-02/14/content_5167886. htm.
[5] D'Souza MS,Karkada SN,Parahoo K,et al. Self-efficacy and selfcare behaviours among adults with type 2 diabetes[J]. Appl Nurs Res,2017,36:25-32.
[6]李春玉,赵晓霜,Kim M,等.社区糖尿病患者疾病相关健康素养对血糖控制的影响[J].中华护理杂志,2012,47(1):69-71.
[7] Jamal A,Khan SA,AlHumud A,et al. Association of online health information-seeking behavior and self-care activities among type 2 diabetic patients in Saudi Arabia[J]. J Med Internet Res, 2015,17(8):e196.
[8]肖顺贞.临床科研设计[M].北京:北京大学医学出版社,2003:113-114.
[9] Kalantzi S,Kostagiolas P,Kechagias G,et al. Information seeking behavior of patients with diabetes mellitus:a cross-sectional study in an outpatient clinic of a university-affiliated hospital in Athens, Greece[J].BMC Res Notes,2015,8(1):48.
[10]王美凤,张清.糖尿病患者健康信息获取行为量表的汉化及信效度检验[J].中华护理杂志,2016,51(11):1385-1389.
[11] DeSalvo KB, Fisher WP, Tran K, et al. Assessing measurement propertiesof two single-item general health measures[J]. Qual Life Res,2006,15(2):191-201.
[12]张磊,徐德忠,黄久仪,等.SF-36量表中文版的应用及分级截断点选择的研究[J].中华流行病学杂志,2004,25(1):77-81.
[13]兰富强,覃佳慧,张士靖.武汉市糖尿病患者信息获取及利用现状调查[J].中华医学图书情报杂志,2015,24(8):27-30.
[14]刘令初,林张彬,王良友,等.台州市糖尿病自我管理知识及健康生活方式相关行为评价[J].中国农村卫生事业管理,2018,38(7):939-942.
[15] Crangle CE,Bradley C,Carlin PF,et al. Soliciting and Respondingto Patients'Questions about Diabetes Through Online Sources[J].Diabetes Technol Ther,2017,19(3):194-199.
[16] Bonoto BC,de Araújo VE,God6i EP,et al. Efficacy of mobile apps to support the care of patients with diabetes mellitus:a systematic review and meta-analysis of randomized controlled trials[J]. JMIR mHealth uHealth,2017,5(3):e4.
[17]付阿丹,张娟,王莉,等.基于互联网的糖尿患者群闭环式健康管理模式的构建[J].护理学杂志,2016,31(13):84-86.
[18]叶晶,陈利群,白姣姣,等.社区糖尿病患者糖尿病足运动锻炼行为调查分析[J].护理学杂志,2013,28(7):77-79.
[19]彭美娣,王雪琴,耿桂灵,等.社区老年糖尿病患者对低血糖危险因素认知现状及相关因素分析[J].中国全科医学,2012,15(6):686-689.
[20]王欣国,徐燕,丁晔,等.城市社区老年2型糖尿病病人糖尿病知识水平及其影响因素研究[J].护理研究,2013,27(20):2079-2080.
[2]徐瑜,毕宇芳,王卫庆,等.中国成人糖尿病流行与控制现状:2010年中国慢病监测及糖尿病专题调查报告解读[J].中华内分泌代谢杂志,2014,30(3):184-186.
[3]Gomes LC, Coelho ACM, dos Santos Gomides D, et al. Contribution of family social support to the metabolic control of people with diabetes mellitus:a randomized controlled clinical trial[J]. Appl Nurs Res,2017,36:68-76.
[4]国务院办公厅.国务院办公厅关于印发中国防治慢性病中长期规划(2017—2025年)的通知[EB/OL].(2017-02-14)[2017-08-27]. http://www. gov. cn/zhengce/content/2017-02/14/content_5167886. htm.
[5] D'Souza MS,Karkada SN,Parahoo K,et al. Self-efficacy and selfcare behaviours among adults with type 2 diabetes[J]. Appl Nurs Res,2017,36:25-32.
[6]李春玉,赵晓霜,Kim M,等.社区糖尿病患者疾病相关健康素养对血糖控制的影响[J].中华护理杂志,2012,47(1):69-71.
[7] Jamal A,Khan SA,AlHumud A,et al. Association of online health information-seeking behavior and self-care activities among type 2 diabetic patients in Saudi Arabia[J]. J Med Internet Res, 2015,17(8):e196.
[8]肖顺贞.临床科研设计[M].北京:北京大学医学出版社,2003:113-114.
[9] Kalantzi S,Kostagiolas P,Kechagias G,et al. Information seeking behavior of patients with diabetes mellitus:a cross-sectional study in an outpatient clinic of a university-affiliated hospital in Athens, Greece[J].BMC Res Notes,2015,8(1):48.
[10]王美凤,张清.糖尿病患者健康信息获取行为量表的汉化及信效度检验[J].中华护理杂志,2016,51(11):1385-1389.
[11] DeSalvo KB, Fisher WP, Tran K, et al. Assessing measurement propertiesof two single-item general health measures[J]. Qual Life Res,2006,15(2):191-201.
[12]张磊,徐德忠,黄久仪,等.SF-36量表中文版的应用及分级截断点选择的研究[J].中华流行病学杂志,2004,25(1):77-81.
[13]兰富强,覃佳慧,张士靖.武汉市糖尿病患者信息获取及利用现状调查[J].中华医学图书情报杂志,2015,24(8):27-30.
[14]刘令初,林张彬,王良友,等.台州市糖尿病自我管理知识及健康生活方式相关行为评价[J].中国农村卫生事业管理,2018,38(7):939-942.
[15] Crangle CE,Bradley C,Carlin PF,et al. Soliciting and Respondingto Patients'Questions about Diabetes Through Online Sources[J].Diabetes Technol Ther,2017,19(3):194-199.
[16] Bonoto BC,de Araújo VE,God6i EP,et al. Efficacy of mobile apps to support the care of patients with diabetes mellitus:a systematic review and meta-analysis of randomized controlled trials[J]. JMIR mHealth uHealth,2017,5(3):e4.
[17]付阿丹,张娟,王莉,等.基于互联网的糖尿患者群闭环式健康管理模式的构建[J].护理学杂志,2016,31(13):84-86.
[18]叶晶,陈利群,白姣姣,等.社区糖尿病患者糖尿病足运动锻炼行为调查分析[J].护理学杂志,2013,28(7):77-79.
[19]彭美娣,王雪琴,耿桂灵,等.社区老年糖尿病患者对低血糖危险因素认知现状及相关因素分析[J].中国全科医学,2012,15(6):686-689.
[20]王欣国,徐燕,丁晔,等.城市社区老年2型糖尿病病人糖尿病知识水平及其影响因素研究[J].护理研究,2013,27(20):2079-2080.