了解 1 型和 2 型糖尿病患者的自我血糖监测：信息动机行为技能分析。
Understanding self-monitoring of blood glucose among individuals with type 1 and type 2 diabetes: an information-motivation-behavioral skills analysis.
机构信息
The Department of Psychology, Department of Obstetrics and Gynecology, University of Western Ontario, London, Ontario, Canada (Dr Fisher)
The Department of Psychology, University of Western Ontario, London, Ontario, Canada (Mr Kohut)
出版信息
Diabetes Educ. 2011 Jan-Feb;37(1):85-94. doi: 10.1177/0145721710391479.
PURPOSE
To evaluate self-monitoring of blood glucose (SMBG) information deficits, motivational obstacles, and behavioral skills limitations in individuals with type 1 and type 2 diabetes, and to assess the relationship of these deficits with SMBG frequency.
METHODS
Individuals with type 1 (n = 208; 103 male, 105 female) and type 2 (n = 218; 107 male, 111 female) diabetes participated in an online survey assessing SMBG information, motivation, behavioral skills, and behavior.
RESULTS
A substantial proportion of participants scored as SMBG uninformed, unmotivated, and unskilled on specific assessment items. SMBG information, motivation, and behavioral skills deficits were significantly correlated with SMBG frequency, such that individuals with type 1 or type 2 diabetes, who were less informed, less motivated, and less behaviorally skilled, reported lower frequency of SMBG.
CONCLUSION
Common and consequential SMBG information, motivation, and behavioral skills deficits were present, and patients with these gaps were less likely to test frequently. Clinical education focusing on relevant SMBG information, motivation to act, and behavioral skills for acting effectively may be a priority.
目的
评估 1 型和 2 型糖尿病患者自我监测血糖 (SMBG) 信息不足、动机障碍和行为技能限制，并评估这些不足与 SMBG 频率的关系。
方法
1 型糖尿病患者（n = 208；男性 103 人，女性 105 人）和 2 型糖尿病患者（n = 218；男性 107 人，女性 111 人）参加了一项在线调查，评估 SMBG 信息、动机、行为技能和行为。
结果
相当一部分参与者在特定评估项目上的 SMBG 信息、动机和行为技能得分较低。SMBG 信息、动机和行为技能不足与 SMBG 频率显著相关，即 1 型或 2 型糖尿病患者信息不足、动机不足和行为技能不足，报告的 SMBG 频率较低。
结论
存在常见且后果严重的 SMBG 信息、动机和行为技能不足，存在这些差距的患者不太可能频繁检测。以 SMBG 相关信息、行动动机和有效行动行为技能为重点的临床教育可能是当务之急。
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