T'ang J, Chan C, Chan N F, Ng C B, Tse K, Lau L
Department of Community and Family Medicine, Chinese University of Hong Kong, Lek Yuen Health Centre, 4/F, Sha Tin, New Territories, Hong Kong.
Patient Educ Couns. 1999 Mar;36(3):259-70. doi: 10.1016/s0738-3991(98)00106-2.
A cross-sectional survey was conducted on Chinese diabetic patients attending a community clinic in Hong Kong. A questionnaire, physical examination and blood tests were administered. Of 155 adults with diabetes mellitus recruited, the mean age was 63 years (SD 10.3), 77.4% were female and 41.9% illiterate. Half the patients achieved adequate knowledge scores. Knowledge was found to be associated with education level (OR 4.3, 95% CI 1.8, 10.0), longer disease duration (OR 3.2, 95% CI 1.4, 7.4) and complications (OR 0.3, 95% CI 0.1, 0.8). No correlation was found between knowledge and attitude or practice. Attitude was found to be associated with practice (OR 1.2, 95% CI 1.0, 1.3) and male gender (OR 2.9, 95% CI 1.1, 7.5); practice was associated with hypertension (0.5, 95% CI 0.2, 0.9). Older less educated Chinese diabetic patients can be educated about diabetes management, but knowledge does not always translate into practice.
对香港一家社区诊所的中国糖尿病患者进行了横断面调查。进行了问卷调查、体格检查和血液检查。在招募的155名成年糖尿病患者中，平均年龄为63岁（标准差10.3），77.4%为女性，41.9%为文盲。一半的患者知识得分充足。发现知识与教育水平（比值比4.3，95%置信区间1.8，10.0）、病程较长（比值比3.2，95%置信区间1.4，7.4）和并发症（比值比0.3，95%置信区间0.1，0.8）相关。未发现知识与态度或行为之间存在相关性。发现态度与行为（比值比1.2，95%置信区间1.0，1.3）和男性性别（比值比2.9，95%置信区间1.1，7.5）相关；行为与高血压相关（0.5，95%置信区间0.2，0.9）。可以对受教育程度较低的老年中国糖尿病患者进行糖尿病管理教育，但知识并不总是能转化为行为。
