邹明菊 施龙永 代莉 杨四吉 李彩霞 邓蕊 何燕

[摘要] 目的 探討糖尿病管理自我效能量表在提高患者依从性中的分析研究。方法 于2019年6—12月选取该院收治的100例2型糖尿病住院患者作为该次研究对象，按照随机数列法分为研究组与对照组，各50例。为对照组50例患者选择常规健康教育指导，为研究组50例患者在此基础上运用糖尿病管理自我效能量表（C-DMSES）使得患者进行自我管理，进行评估指导后记录患者的相关数据，并于患者出院后4周、8周、12周通过电话访谈、上门访视访谈等方式据实填写C-DMSES量表，对比两组患者的自我效能感得分情况与依从性情况。 结果 评价结束后，研究组50例患者的依从性得分为（61.2±3.2）分，对照组50例患者的依从性得分为（41.2±1.1）分，研究组50例患者得分情况明显优于对照组50例患者，两组患者依从性评分对比，差异有统计学意义（P<0.05）;研究组50例患者的自我效能得分为（68.2±1.5）分，对照组50例患者的自我效能得分为（32.5±2.3）分，研究组50例患者得分情况明显优于对照组50例患者，两组患者的自我效能得分对比，组间差异有统计学意义（P<0.05）。结论 通过采用糖尿病管理自我效能量表C-DMSES对糖尿病患者进行自我管理，能够有效提高患者治疗依从性，以预防和延迟急慢性并发症的发生，提高患者生存质量，同时也提高了专科护士糖尿病健康教育指导能力。

[关键词] 2型糖尿病;常规健康教育指导;自我效能感;急慢性并发症

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0089-03

Study on Diabetes Management Self-Efficacy Scale in Improving Patient Compliance

ZOU Ming-ju， SHI Long-yong， DAI Li， YANG Si-ji， LI Cai-xia， DENG Rui， HE Yan

The Second People's Hospital of Jiangjin District， Chongqing， 402260 China

[Abstract] Objective To explore the analytical research of self-efficacy scale for diabetes management in improving patient compliance. Methods A total of 100 inpatients with type 2 diabetes admitted to the hospital from June to December 2019 were selected as the subjects of this study. They were divided into a study group and a control group with 50 cases each according to the random number sequence method. Select routine health education guidance for 50 patients in the control group， and use the Diabetes Management Self-Efficacy Scale （C-DMSES） for the 50 patients in the study group to make self-management， and record the relevant data of the patients after evaluation and guidance. The C-DMSES questionnaire was filled out by telephone interviews， on-site visits， and other methods 4 weeks， 8 weeks， and 12 weeks after discharge from the hospital. The self-efficacy scores and compliance of the two groups were compared. Results After the evaluation， the compliance score of 50 patients in the study group was （61.2±3.2） points， and the compliance score of 50 patients in the control group was （41.2±1.1） points. The scores of the 50 patients in the study group were significantly better than There were 50 patients in the control group. The compliance scores of the two groups were statistically significant （P<0.05）. The self-efficacy score of the 50 patients in the study group was （68.2±1.5） points， and the self-efficacy score of the 50 patients in the control group was （32.5±2.3） points. The scores of 50 patients in the study group were significantly better than those in the control group. The self-efficacy scores of the two groups were statistically significant， and there was statistical significance between the groups （P<0.05）. Conclusion Self-management of diabetic patients by adopting the Diabetes Management Self-Efficacy Scale C-DMSES can effectively improve patient compliance， prevent and delay the occurrence of acute and chronic complications， improve the quality of life of patients， and also improve the specialty nurses Diabetes health education guidance ability.

[Key words] Type 2 diabetes; General health education guidance; Self-efficacy; Acute and chronic complications

糖尿病是一种由于高血糖形成的代谢性的疾病[1]，能够对患者的身体造成一定的影响，严重的会直接影响患者的生活质量和健康水平。一般多发原因为胰岛素的分泌缺失或者是由于環境原因导致的生物功能受损，主要表现为代谢紊乱，对于身体其余组织负担危害很大，易造成心脏、神经等脆弱组织的功能障碍[2]。近几年，随着人们的生活方式、生活习惯的改变，该疾病的病发率也在呈现着逐年增长的趋势。虽然临床上的治疗方式能够对患者的血糖进行有效的控制，但是由于糖尿病属于一种长期的慢性疾病类型，因此需要患者能够长期的进行自我管理，从而能够有效改善患者的生活质量，提高治疗效果。……