天津护理 ›› 2026, Vol. 34 ›› Issue (4): 448-452.DOI: 10.3969/j.issn.1006-9143.2026.04.013

• 调查与分析 • 上一篇    下一篇

社区糖耐量减低人群自我管理现状及影响因素分析

邢钧 王东雨 曹阳 刘欢欢 田明   

  1. (天津市第一中心医院,天津 300192)
  • 出版日期:2026-08-28 发布日期:2026-09-02

The current status and influencing factors of self-management in community-dwelling individuals with impaired glucose tolerance

XING Jun, WANG Dongyu, CAO Yang, LIU Huanhuan, TIAN Ming   

  1. (Tianjin First Central Hospital, Tianjin 300192)
  • Online:2026-08-28 Published:2026-09-02

摘要: 目的:调查社区糖耐量减低人群自我管理现状并对其影响因素进行分析,为制定针对性干预策略提供依据。方法:采用便利抽样法,选择 168 例社区糖耐量减低患者作为研究对象,采用一般资料调查表、糖尿病自我管理行为量表及直觉饮食量表-2 进行调查,采用单因素分析及多元线性回归分析探讨其自我管理的影响因素。结果:社区糖耐量减低人群糖尿病自我管理行为量表得分为(43.32±9.13)分,直觉饮食量表-2 得分为(74.32±7.47)分。多元线性回归分析显示,年龄、文化程度及直觉饮食是社区糖耐量减低人群自我管理的影响因素(P<0.05),共解释总变异的 96.3%。结论:社区糖耐量减低人群自我管理水平仍有提升空间。需重点针对影响因素采取相关措施,提高自我管理水平,以延缓糖尿病发生。

关键词: 糖耐量减低, 直觉饮食, 自我管理, 影响因素, 护理

Abstract: Objective: To investigate the current status of self-management among community-dwelling individuals with impaired glucose tolerance and analyze its influencing factors, in order to provide a basis for developing targeted intervention strategies. Methods: A total of 168 community-dwelling patients with impaired glucose tolerance were selected as the study subjects by using convenience sampling method. General information questionnaire, the Summary of Diabetes Self-Care Activities, and the Intuitive Eating Scale-2 were administered in the study. Univariate analysis and multiple linear regression analysis were used to explore the influencing factors of self-management. Results: The total score of the Summary of Diabetes Self-Care Activities with impaired glucose tolerance was 43.32 ± 9.13, and the total score of the Intuitive Eating Scale-2 was 74.32 ± 7.47. Multiple linear regression analysis showed that age, educational level, and intuitive eating were influencing factors for self-management among community-dwelling individuals with impaired glucose tolerance (P<0.05), collectively explaining 96.3% of the total variance. Conclusion: There is still room for improvement in the self-management level of community-dwelling population with impaired glucose tolerance. Targeted measures should be taken specifically to address the influencing factors and enhance the self-management levels, in order to delay the onset of diabetes.

Key words: Impaired glucose tolerance, Intuitive eating, Self-management, Influencing factors, Nursing