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中国2型糖尿病患者的健康信念与并发症预防行为的关系。

The relationship of health beliefs and complication prevention behaviors of Chinese individuals with Type 2 Diabetes Mellitus.

作者信息

Tan Ming Yeong

机构信息

Damai Medical and Heart Clinic, 49N Jalan Ong Kim Wee, 75300 Melaka, Malaysia.

出版信息

Diabetes Res Clin Pract. 2004 Oct;66(1):71-7. doi: 10.1016/j.diabres.2004.02.021.

Abstract

This study aimed to identify the relationship of health beliefs and complication prevention behaviors among Chinese individuals with Type 2 Diabetes Mellitus in Malaysia. A correlation study using the Health Belief Model (HBM) framework was undertaken with 128 Chinese subjects with Type 2 Diabetes of both gender, mean age 60.5 +/- 8.42 years from one urban hospital and four rural health centers. Research tool was a 60-item questionnaire with responses recorded on 5-point Likert scale. Data was analyzed with descriptive statistics, Spearmen correlation and Mann-Whitney U-test. The majority of the subjects had less than 6 years of education. Seventy-two percent of them were aware of diabetes complications and its risk factors. However, few subjects practiced complication preventive measures because of lack of perceived seriousness of diabetes and lack of perceived susceptibility to diabetes complications. There were significant correlations between complication prevention behaviors and perceived severity (P < 0.05), perceived susceptibility (P < 0.05 ) and perceived barrier (P < 0.05 ); subjects' education level and perceived severity (P < 0.05), perceived susceptibility (P < 0.05) and complication prevention behavior (P < 0.05). There was no significant correlation between health beliefs and settings; genders; disease duration and treatment mode. In conclusion, poor complication preventive behavior among the subjects was associated with lack of perceived seriousness of diabetes and lack of perceived susceptibility to diabetes complications.

摘要

本研究旨在确定马来西亚华裔2型糖尿病患者的健康信念与并发症预防行为之间的关系。采用健康信念模型(HBM)框架对128名来自一家城市医院和四个农村健康中心的华裔2型糖尿病患者进行了相关性研究,这些患者年龄在60.5 +/- 8.42岁之间,男女均有。研究工具是一份包含60个条目的问卷,采用5点李克特量表记录回答。数据采用描述性统计、斯皮尔曼相关性分析和曼-惠特尼U检验进行分析。大多数受试者受教育年限不足6年。其中72%的人知晓糖尿病并发症及其危险因素。然而,由于对糖尿病缺乏感知严重性以及对糖尿病并发症缺乏感知易感性,很少有受试者采取并发症预防措施。并发症预防行为与感知严重性(P < 0.05)、感知易感性(P < 0.05)和感知障碍(P < 0.05)之间存在显著相关性;受试者的教育水平与感知严重性(P < 0.05)、感知易感性(P < 0.05)和并发症预防行为(P < 0.05)之间也存在显著相关性。健康信念与就医地点、性别、病程和治疗方式之间无显著相关性。总之,受试者并发症预防行为不佳与对糖尿病缺乏感知严重性以及对糖尿病并发症缺乏感知易感性有关。

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