| Objeetive:To assess the level of Diabetes knowledge, attitude and self-management level behaviors in type2diabetes mellitus(T2DM) patients. To explore the influential factors of self-management behaviors, and analyze the correlation among diabetes knowledge,attitude and s self-management behaviors. Observation of T2DM in patients with combined traditional Chinese and Western medicine self-management knowledge the letter the line level and glucose control.Methods:By using random sampling method, selected180T2DM patients from Hepingli in Beijing City, carries on the questionnaire survey. The questionnaire consists of four parts:basic information of T2DM patients, T2DM patients in the western medicine knowledge scale, combining Chinese and Western medicine management T2DM attitude scale, T2DM self nursing management behavior scale. The collected data using SPSS19.0descriptive analysis, chi square test, t test, multi factor non conditional Logistic regression analysis, the test level a=0.05.Resulst:1. The average age of the investigation object57.89±11.11years; the course of disease was12.31±5.25years. Surveyed the crowd mainly concentrated in46～75year-old age group. The sex ratio of men to women is close to. The education is mainly high school, technical secondary school, junior college degree. The majority of patients with complications. The research object of HbA1C>7.5%44people (24.44%), suggesting that there is still a considerable number of patients blood glucose control is not satisfactory.2. The180subjects with type2diabetes knowledge scale scored an average of10.44±4.26. The western medicine knowledge scored an average of5.29±1.67,5.35±2.40the average score of knowledge of traditional Chinese medicine. From the right, wrong answer rate, western medicine knowledge from good to poor in basic knowledge, knowledge of medication, diet, exercise, monitoring knowledge. Multivariate Lolgistic regression analysis of gender, degree of culture are the factors affecting knowledge scores, the level of knowledge in women with type2diabetes is higher, the higher level of education, the type2diabetes knowledge level higher.3. The research object of combination of traditional Chinese medicine and Western medicine for health management attitude score was5.95+2.82, the highest score of8points, the lowest score of1points.41.11%(74) patients with type2diabetes is very sure that should take the control diet attitude.37.78%(68) of combination of traditional Chinese medicine and Western medicine in patients for health management to take positive attitude, the very attitude of patients can be reached22.22%(40). Multivariate logistic regression analysis showed:positive western medicine health management knowledge and attitude, knowledge is more high, the more attention to health management, course of disease and cultural level and attitude were positively related, namely, the longer the duration, the higher education more importance to combine traditional Chinese and Western medicine and health management.4. The research object of combination of traditional Chinese medicine and Western medicine for health management behavior score was7.87±2.92, the highest score of11points, the lowest score of3points. Methods using a combination of traditional Chinese and Western medicine routine health care were in the majority, there are21.67%patients in daily health management does not use the combination of traditional Chinese medicine and Western medicine, and always use the method of combining traditional Chinese and Western medicine for health management in18.89%. Choose to live with guidance of theory of traditional Chinese medicine in patients with eating behavior is relatively more, buy food and cooking methods, often considered the cool season food properties, and their own constitution in21.11%of the patients, always consider accounted for38.89%. Frequently used medicinal food to auxiliary treatment of diabetes patients32.78%, always use the medicated patients accounted for28.33%. Chinese traditional sports items used in the study of less,28.89%of the patients had never do traditional sports project,26.11%of the patients occasionally do traditional sports. From the Chinese medicine behavior,42.22%of the patients had never take Chinese traditional medicine to treat diabetes, only18.33%of the patients always take Chinese traditional medicine to treat diabetes, namely take Chinese traditional medicine behavior is relatively poor. The results of Igoistci regression analysis, culture degree, traditional Chinese medicine knowledge, attitude, course of disease affects patients with combination of traditional Chinese and Western medicine and health management behavior, the duration of the elderly management behavior is better; the higher educational level, knowledge of traditional Chinese medicine have the better, the health management recognized degrees higher attention, management behavior.5. The western medicine knowledge obtained high scores mean HbA1C (7.14±0.55) was significantly higher than that of traditional high scores of HbA1C mean (6.62±0.42). Western medicine, Chinese medicine knowledge score HbA1C mean to do t testas, with statistical significance (P<0.05).Conclusion:1. The research objects of T2MD knowledge, traditional Chinese medicine and Western medicine treatment of integrated traditional Chinese and Western medicine approach in the management of T2MD attitude whether value, T2MD mellitus combined traditional Chinese and Western medicine health management factors in patients with T2MD knowledge, attitude and behavior are positively correlated.2. Western medical knowledge of patients with T2MD master degree significantly better than the knowledge of traditional Chinese medicine, suggest that in the health education in the process of teaching, to strengthen the health knowledge of traditional Chinese medicine T2MD, to enable patients to master the application of adequate knowledge on health management behavior.3. In addition to knowledge, attitude, factors affecting take an integrative approach to managing diabetes behavior of T2MD patient education, the course is patients, and was positively correlated with diabetes management behavior. Therefore, health education should pay special attention to the individual differences, but also for sick patients with short duration to focus.4. Traditional Chinese medicine and Western medicine knowledge, attitude, behavior is the influence factors of T2MD in patients with HbA1C values, a linear correlation, Chinese and Western medicine knowledge, attitude, behavior score higher, with glycosylated hemoglobin value is low, namely glycaemic control. Thus, T2MD patients with the combination of traditional Chinese medicine and Western medicine KAP for change will promote the patients with well controlled glucose.5. Knowledge of traditional Chinese Medicine score in patients with HbA1C on the mean of the study subjects was6.62±0.42, glycosylated hemoglobin Western knowledge score in patients with mean7.14±0.55, t test was performed on the, P<0.05, the difference was significant, traditional Chinese medicine knowledge score of HbA1C control more satisfied. The management of diabetes patients with better more firmly take an integrative approach to master Chinese knowledge, and act accordingly, and glycemic control is satisfactory. Therefore, in order to control blood glucose better, delay the occurrence of complications, improve the quality of life, the daily health management of traditional Chinese medicine theory of infiltration in the patients, and for this purpose, to do more targeted health knowledge of Chinese medicine education. |
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