| 杨林.老年糖尿病视网膜病变患者健康信念及家庭功能与血糖控制水平的相关性分析[J].安徽医药,2018,22(3):560-563. |
| 老年糖尿病视网膜病变患者健康信念及家庭功能与血糖控制水平的相关性分析 |
| Correlation of health belief and family function on glucose control in elder patients with diabetic retinopathy |
| 投稿时间：2016-12-10 |
| DOI： |
| 中文关键词: 老年 糖尿病视网膜病变 健康信念 家庭功能 血糖控制 |
| 英文关键词: elder diabetic retinopathy health belief family function glucose control |
| 基金项目: |
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| 摘要点击次数: 2316 |
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| 中文摘要: |
| 目的 观察老年糖尿病视网膜病变(DR)患者健康信念及家庭功能与血糖控制水平的相关性。 方法 选取老年DR患者221例,根据糖化血红蛋白(HbA1C)水平分为HbA1C≤7.0%组70例、7.0%＜HbA1C≤9.0%组81例及HbA1C＞9.0%组70例。收集各组的临床资料,采用Champion健康信念量表(CHBMS)和家庭功能量表(FAD)评估各组的健康信念和家庭功能。采用Spearman相关性分析健康信念和家庭功能与血糖控制水平的相关性。 结果 (1)HbA1C＞9.0%组空腹血糖(FPG)、餐后2 h血糖(2 hPG)及胰岛素抵抗指数(HOMA-IR)高于7.0%＜HbA1C≤9.0%组和HbA1C≤7.0%组,且7.0%＜HbA1C≤9.0%组高于HbA1C≤7.0%组(P＜0.01)；(2)随着HbA1C水平的升高,CHBMS各条目评分和总分均降低,FAD各条目评分和总分均升高(均P＜0.01)；(3)Spearman相关分析显示,CHBMS评分与血糖控制水平均呈正相关(P＜0.05)；FAD评分与血糖控制水平均呈负相关(P＜0.05)。 结论 随着HbA1C水平升高,老年DR患者的健康信念降低,家庭功能升高,健康信念和家庭功能与血糖控制水平密切相关。 |
| 英文摘要: |
| Objective To observe the correlation of health belief and family function on glucose control in elder patients with diabetic retinopathy. Methods A total of 221 elderly patients with diabetic retinopathy were assigned into three groups according to the levels of HbA1C:HbA1C≤7.0% group (n=70),7.0%＜HbA1C≤9.0% group (n=81) and HbA1C＞9.0% group (n=70).The clinical data were collected in all groups,and the cognitive status and family function were evaluated by the Champion health belief model scale (CHBMS) and family assessment device (FAD).Spearman correlation analysis was adopted to assess the correlation of health belief and family function on glucose control. Results (1) FPG,2 hPG and HOMA-IR were higher in HbA1C＞9.0% group than that in 7.0%＜HbA1C≤9.0% group and HbA1C≤7.0% group,and 7.0%＜HbA1C≤9.0% group was higher than that in HbA1C≤7.0% group (P＜0.01).(2) With the rise of the HbA1C level,the score of each entry and total score were reduced in CHBMS and those in FAD were increased (all P＜0.01).(3) Spearman correlation analysis showed that health belief was positively correlated with glucose control (P＜0.05),while family function was negatively correlated with glucose control (P＜0.05). Conclusions With the rise of HbA1C level,the health belief is reduced and the family function is increased in elderly patients with diabetic retinopathy,which are closely related to glucose control. |
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