关键词: 糖尿病, 社区卫生服务, 自我管理行为, 影响因素

Abstract: Objective: To investigate the status and influencing factors of self-management behaviors in patients with type 2 diabetes managed by community health service centers in Nanjing, and provide a basis for improving the quality of community diabetes management. Methods: Purposive sampling method was used to recruit patients with type 2 diabetes who were managed by two community health service centers in Nanjing. General information questionnaire and simplified diabetes self-management behavior scale were used to collect information. Results：A total of 129 patients with type 2 diabetes were included in the study. The average score of self-management behavior was 32.56±9.47 points and 20 cases (15.5%) had good self-management ability. As for the domains of self-management, the score rate of foot care was the lowest. Age, education level, living conditions and glycosylated hemoglobin were the influencing factors of self-management behavior in patients with type 2 diabetes. Conclusion: Under the community management model, the level of self-management in patients with type 2 diabetes is generally low. The targeted and individualized nursing intervention measures should be adopted to improve the quality of community diabetes management and the level of community services.

Key words: Diabetes, Community health service, Self-management behavior, Influencing factors