He X, Wharrad H J
Int Nurs Rev. 2007 Sep;54(3):280-7. doi: 10.1111/j.1466-7657.2007.00570.x.
Diabetes self-management education (DSME) is a key component of effective glycemic control and an important part of clinical diabetes management. The effects of DSME in China have not been investigated.
To identify factors that could enhance the quality of Chinese DSME programmes. The relationship between patients' diabetes knowledge and their glycemic control was explored.
A non-experimental cross-sectional study was undertaken in a large Shanghai hospital in China. Forty inpatients and 60 outpatients with type 2 diabetes mellitus were recruited. A Chinese version of the Diabetes Knowledge Scale was used to assess subjects' diabetes knowledge and collect demographic data and HbA1c levels.
The mean diabetes knowledge scores among Chinese with type 2 diabetes was 22.1 +/- 3.76 out of a possible 30 marks. There was no difference in overall diabetes knowledge in people with HbA1c <7%, indicating good control and those with HbA1c >or=7%, indicating suboptimal glycemic control (t = -0.811, P = 0.419). However, there were differences in scores between the two groups for some specific questions on sick day management and food substitution. Moreover, sociodemographic characteristics such as age and occupation were significantly correlated with diabetes knowledge; age was negatively correlated with diabetes knowledge and white-collar workers had the highest mean knowledge score and housewives the lowest.
Sociodemographic characteristics need to be considered when developing diabetes self-management programmes for Chinese people with type 2 diabetes.
糖尿病自我管理教育（DSME）是有效控制血糖的关键组成部分，也是临床糖尿病管理的重要内容。在中国，DSME的效果尚未得到研究。
确定可提高中国DSME项目质量的因素。探讨患者糖尿病知识与其血糖控制之间的关系。
在中国上海的一家大型医院进行了一项非实验性横断面研究。招募了40名2型糖尿病住院患者和60名门诊患者。使用中文版糖尿病知识量表评估受试者的糖尿病知识，并收集人口统计学数据和糖化血红蛋白（HbA1c）水平。
2型糖尿病中国人的糖尿病知识平均得分在满分30分中为22.1±3.76分。糖化血红蛋白<7%（表明血糖控制良好）的人群与糖化血红蛋白≥7%（表明血糖控制欠佳）的人群在总体糖尿病知识方面没有差异（t = -0.811，P = 0.419）。然而，在病假管理和食物替代等一些具体问题上，两组得分存在差异。此外，年龄和职业等社会人口学特征与糖尿病知识显著相关；年龄与糖尿病知识呈负相关，白领的平均知识得分最高，家庭主妇最低。
为中国2型糖尿病患者制定糖尿病自我管理项目时，需要考虑社会人口学特征。
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