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老年2型糖尿病患者自我管理水平和生存质量的相关性调查
作者：谢菊艳
来源：《中国现代医生》2013年第34期
[摘要] 目的调查老年2型糖尿病患者的自我管理水平与其生存质量的相关性。方法选择2型糖尿病患者200例作为调查对象，采用糖尿病自我管理活动问卷对其自我管理水平进行调查，采用中国糖尿病患者生存质量特异性量表对其生存质量进行调查，分析自我管理水平与生活质量的相关性。结果运动自我管理、自我血糖监测、足部护理、遵医嘱用药与生存质量总分、生理功能、社会关系具有相关性，运动自我管理、自我血糖监测、足部护理与心理和治疗具有相关性。说明患者自我管理水平越高，生存质量越高。结论患者的自我管理水平与生存质量具有相关性，临床工作中应通过多种措施提高患者的自我管理水平。
[关键词] 2型糖尿病；自我管理水平；生活质量；相关性
[中图分类号] R587.2 [文献标识码] B [文章编号] 1673-9701（2013）34-0007-03
Correlation of self management level and quality of life in elderly patients with type 2 diabetes XIE Juyan
Department of Emergency， Hangzhou First People's Hospital， Hangzhou 310006， China
[Abstract] Objective To survey correlation of self management level and quality of life in elderly patients with type 2 diabetes. Methods We selected 200 elderly patients with type 2 diabetes and considered them as objects， self management level was surveyed by diabetes self-management activity questionnaire，and quality of life was surveyed by Chinese diabetic patients survival quality specificity scale. Correlation of self management level and quality of life were analyzed with STatistical methods. Results Exercise self-management，SBMG，foodcare，prescribed medication were correlated with quality of life， physiological function， social relations. Exercise self-management，SBMG，foodcare were correlated with psychology and treatment. Conclusion Self management level has correlation with quality of life.
[Key words] Type 2 diabetes； Self management level； Quality of life； Correlation
糖尿病是一组由于胰岛素分泌缺陷和/或胰岛素作用障碍所致的以高血糖为特征的代谢性疾病，已经成为严重的公共健康问题之一，长期高血糖可导致多种并发症，严重影响患者的健康和生活质量，甚至危及生命[1]。自我管理能力是指受教育者依靠主观能动性按照社会目
标，有意识、有目的地对自己的思想、行为进行转化控制的能力[2]。糖尿病的治疗需要患者