某社区使用手机的2型糖尿病患者知信行现状及其影响因素

赫慧琛; 陈国良; 刘莉; 王素梅; 李伦

doi:10.19428/j.cnki.sjpm.2017.10.012

某社区使用手机的2型糖尿病患者知信行现状及其影响因素

Survey on knowledge, attitude and practice (KAP) and influencing factors among community patients with type 2 diabetes who use mobile phones

摘要

摘要:
目的了解社区在管且使用手机的糖尿病患者相关知识、态度及行为现况，分析其影响因素，为制订有针对性的社区糖尿病综合防治措施提供依据。
方法采用单纯随机抽样的方法，在上海市某社区抽取129例使用手机的糖尿病患者作为调查对象，运用自行设计且经专家认证的社区糖尿病患者知信行调查表进行糖尿病相关知识、态度及行为调查，对相关影响因素进行单因素和多因素logistic回归分析。
结果共发出129份调查问卷，回收121份，应答率93.80%。121例调查对象糖尿病相关知识平均得分为(46.37±16.11)分；调查对象认为控制饮食、健康教育、定期锻炼、健康心理有助于糖尿病的控制分别占97.5%、95.9%、93.4%和86.8%；79.3%的患者能坚持控制饮食和锻炼身体，48.8%的患者接受过健康教育讲座，而餐后2h血糖和糖化血红蛋白检测率均不高，分别占29.8%、38.8%，仅有3.3%的患者定期检查足部；家庭年收入越高，其糖尿病知识得分越高(OR=2.255，P=0.017)，经常使用手机阅读微信的糖尿病患者得分高于不使用手机阅读微信的患者(OR=3.310，P＝0.005)。
结论调查对象的糖尿病相关知识水平较低，多数患者对糖尿病的综合防治持肯定态度，但执行力度不高，尤其对定期检查不够重视。家庭年收入越高、经常使用手机阅读微信，其糖尿病知识得分越高。应充分利用手机微信功能加大对糖尿病患者的健康教育宣传力度，提高其知信行水平。

Abstract:
ObjectiveTo assess the knowledge, attitude and practice (KAP) situation in community diabetes patients who use mobile phones, and analyze the influencing factors, so as to provide references for targeted control measures in community diabetes patients.
MethodsA total of 129 diabetes patients who used mobile phones were selected as the object of investigation using simple random sampling. Their diabetes mellitus-related knowledge, attitude and behavior were investigated by certified self-designed KAP Questionnaire for Community Diabetics, and the possible factors influencing diabetes knowledge scores were analyzed using the univariate analysis and multivariate logistic regression analysis.
ResultsA total of 129 questionnaires were issued and 121 were returned, with a recovery rate of 93.80%. The mean of diabetes knowledge scores was (46.37±16.11). The subjects who considered that diet, health education, regular exercise and healthy psychology contributed to the control of diabetes mellitus, accounting for 97.5%, 95.9%, 93.4% and 86.8% of the subjects, respectively. 79.3% of the patients maintained their diet and exercise, and 48.8% received health education sessions. Those with low detection rates of 2 hour postprandial blood sugar and glycosylated hemoglobin, accounting for 29.8% and 38.8% respectively. Only 3.3% of the subjects had their feet examined regularly. Higher family income was related with higher diabetes knowledge score (OR=2.255, P=0.017), and subjects who used mobile phone to read WeChat's scored higher than those who did not use WeChat (OR=3.310, P=0.005).
ConclusionThe level of diabetes knowledge scores was low in the studied diabetes patients. The majority of diabetes patients had a positive attitude towards comprehensive control of diabetes mellitus, but the implementation rate of control measures was low, especially the regular medical examination was not paid enough attention. Higher family income and using mobile phone to read WeChat's were related to the higher score of diabetes knowledge. We should make the best of WeChat function and increase health education publicity in diabete patients so as to improve their knowledge, attitude and practice level.

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