2型糖尿病自我管理水平的研究进展

doi:10.3969/j.issn.1000-8535.2023.09.020

摘要/Abstract

摘要： 目的分析近年来2型糖尿病自我管理水平的研究进展,讨论其自我管理水平的影响因素及给出相应的建议。方法通过中国知网、万方医学、迈特思创外文期刊等检索工具,搜索“2型糖尿病”“自我管理”等关键词,收集2000年—2022年相关文献资料,采用文献研究方法进行分析。结果共检索相关文献1 053条,通过阅读文献以及文献引文,共筛选出重要文献35篇。结论归纳总结介绍了近年来有关2型糖尿病自我管理水平的研究进展、自我管理的各个方面,包括概念、评估工具、影响因素、与糖尿病并发症的关系及提升方法等,最后文章的总结部分提出了未来研究的方向和挑战。

关键词: 2型糖尿病, 自我管理, 评估工具, 干预策略

Abstract: Objective To analyze the research progress on self-management levels of type II diabetes in recent years,discuss the influencing factors of self-management levels,and provide corresponding suggestions．Methods This article collected relevant literature from 2000 to 2022 by searching tools such as CNKI,Wanfang Medical and Medline for keywords such as “type II diabetes”and“self-management”,and analyzed the literature using a literature research method．Results A total of 1,053 relevant literature were retrieved,and 35 important literature were selected through reading literature main body and citation．Conclusions This article summarizes the research progress on self-management levels of type II diabetes in recent years,including various aspects of self-management such as concepts,evaluation tools,influencing factors,the relationship with diabetic complications,and improvement methods．The conclusion part of the article proposes directions and challenges for future research．

Key words: type II diabetes, self-management, evaluation tools, intervention strategies

周倩, 吴库生. 2型糖尿病自我管理水平的研究进展[J]. 广州医药, 2023, 54(9): 107-111.

ZHOU Qian, WU Kusheng. Research progress on self-management levels of type 2 diabetes[J]. Guangzhou Medical Journal, 2023, 54(9): 107-111.

参考文献

[1] International Diabetes Federation.IDF Diabetes Atlas[M].9th ed.2017.
[2] 胡艳敏,程红.肥胖与2型糖尿病自我管理的关系研究[J].中华医学教育探索杂志,2020,19(3):273-276.
[3] ZHANG P,ZHANG X,BROWN J,et al.Global healthcare expenditure on diabetes for 2010 and 2030[J].Diabetes Res Clin Pract,2010,87(3):293-301.
[4] WANG L,GAO P,ZHANG M,et al.Prevalence and ethnic pattern of diabetes and prediabetes in China in 2013[J].JAMA,2017,317(24):2515-2523.
[5] 张勇,王海燕.基于社区的2型糖尿病自我管理对患者血糖控制的影响[J].中国卫生事业管理,2018,35(7):546-548.
[6] 吴涛,郭艳芳,董俊,等.血糖监测对2型糖尿病患者自我管理效果的影响[J].中华疾病控制杂志,2019,23(8):818-821.
[7] TANG T S,FUNNELL M M,BROWN M B,et al.Self-management support in “real-world” settings:An empowerment-based intervention[J].Patient Educ Couns,2010,79(2):178-184.
[8] GUO X H,YUAN L,LOU Q Q,et al.Factors associated with self-care behaviour in patients with type 2 diabetes mellitus:A cross-sectional study[J].J Clin Nurs,2014,23(9-10):1291-1299.
[9] 孟朝琳,李明子,纪立农.北京市1151例2型糖尿病患者生活质量及其影响因素分析[J].中华护理杂志,2011,46(5):505-507.
[10] 李杰,唐佳萍,吴海娅,等.文化程度和个体化教育对2型糖尿病患者血糖控制的影响[J].中华糖尿病杂志,2009,1(3):183-185.
[11] 李新雨,郭小琼.2型糖尿病患者社会支持、应对方式与自我管理水平关系的研究[J].中国健康心理学杂志,2017,25(3):423-442.
[12] SONG M,LI R,ZHANG J,et al.The effectiveness of diabetes self-management education interventions in adults with type 2 diabetes in China:A systematic review and meta-analysis[J].Diabetes Ther,2016,7(4):601-612.
[13] BAO Y,FAN Y,MA X,et al.The impact of family-centered care on self-management of type 2 diabetes in Chinese community population:a randomized controlled trial[J].BMC Public Health,2010(10):569.
[14] 周立波,张国荣,沈冬雪,等.2型糖尿病患者社会支持与自我管理水平的关系[J].现代医学,2016,44(10):1197-1201.
[15] 李兵,王珏,郭宏斌.社会支持对2型糖尿病患者自我管理的影响研究[J].中国社区医师,2017,33(18):147-149.
[16] 魏文静,张贤芳,王彤彤,等.糖尿病患者家庭支持现状及其对自我管理的影响[J].中国公共卫生,2018,34(1):104-107.
[17] FISHER E B,BOOTHROYD R I,COUFAL M M,et al.Peer support for self-management of diabetes improved outcomes in international settings[J].Health Affairs,2012,31(1):130-139.
[18] FUNNELL M M,BROWN T L,CHILDS B P,et al.National standards for diabetes self-management education[J].Diabetes Educator,2010,33(4):599-614.
[19] 钟慧琴,邵亚.糖尿病自我管理行为研究进展[C].北京:中国护理管理杂志社,2016.
[20] 张海莲,李春玉,金锦珍,等.2型糖尿病患者疾病自我管理水平及障碍认知现况分析[J].现代预防医学,2015,42(7):1268-1271.
[21] TOOBERT D J,HAMPSON S E,GLAGGOW R E.The summary of diabetes self-care activities measure:Results from 7 studies and a revised scale[J].Diabetes Care,2000,23(7):943-950.
[22] WEINGER K,BUTLER H A,WELCH G W,et al.Measuring diabetes self-care:A psychometric analysis of the Self-Care Inventory-Revised with adults.[J].Diabetes Care,2005,28(6):1346-1352.
[23] SCHMITT A,GAHR A,HERMANNS N,et al.The Diabetes Self-Management Questionnaire(DSMQ):Development and evaluation of an instrument to assess diabetes self-care activities associated with glycaemic control[J].Health & Quality of Life Outcomes,2013,11(1):138-138.
[24] 唐佳萍,项坤三,吴松华.糖尿病个体化教育的效果评价[J].上海医学,2001,24(4):224-226.
[25] 王丽,张俊蕾.老年2型糖尿病患者自我管理水平及影响因素分析[J].护理学报,2012,19(7):39-42.
[26] 龙琳,王杨,王淼.2型糖尿病患者自我管理水平及其影响因素研究[J].中国现代医生,2015,53(14):31-35.
[27] 高峰,张健,张曙光.II型糖尿病自我管理水平的调查及其影响因素分析[J].中国全科医学,2015,18(7):807-810.
[28] 杨钦娟,杨阳.综合干预对不同年龄段2型糖尿病患者自我管理的影响[J].中国保健营养,2018,28(34):67.
[29] 邵溢,徐云.上海市华阳社区糖尿病患者自我管理现状的调查[J].中华护理教育,2008,5(4):162-165.
[30] 王振文,王燕.自我效能感对2型糖尿病患者自我管理行为的影响[J].实用医药杂志,2018,34(3):371-373.
[31] 钟美华,陈艳,张毅.2型糖尿病患者自我效能与自我管理水平的相关研究[J].现代医药卫生,2019,35(1):100-102.
[32] 谷翠霞,王雅婷,王雪梅.2型糖尿病患者社会支持对自我管理水平的影响研究[J].中国社区医师,2016,18(32):68-70.
[33] 纪文英,黄泽泓,陈慎仁,等.糖尿病社区健康教育及生活方式干预的调查[J].护士进修杂志,2005,20(8):696-698.
[34] ALEXANDRE K,DESRICHARD O,BURNAND B,et al.Factors influencing self-management in adults with diabetes:An umbrella review protocol[J].JBI Database System Rev Implement Rep,2017,15(11):2630-2637.
[35] XIAO-QING B U,WANG C J,WEI X L,et al.Relationship between self-management level and glycosylated hemoglobin A_(1C)level of patients with type 2 diabetes mellitus in Jinchang district of Suzhou city[J].Chinese Journal of Prevention and Control of Chronic Diseases,2014.
[36] 方敏,徐俊利.社区糖尿病患者自我管理对糖尿病视网膜病变的影响[J].解放军医院管理杂志,2018,25(1):6-11.
[37] 戴霞,郭晓蕙,楼青青,等.2型糖尿病患者运动自我管理现状调查与分析[J].护士进修杂志,2013,28(1):13-15.
[38] 贾芸,龚婷,桑末心.2型糖尿病患者自我效能与自我管理水平的相关性研究[J].现代护理,2005(19):1586-1588.
[39] 李爱群,区美琼,周惠芳,等.实施个体化健康教育时冠心病心绞痛再发率的影响[J].国际医药卫生导报,2013,19(13):2012-2014.