| ObjectiveTo understand the status quo of quality of life,self-management and self-efficacy of elderly type 2 diabetes patients in Lanzhou.The factors affecting the quality of life,self-management and self-efficacy of elderly patients with type 2 diabetes in Lanzhou community were analyzed to provide reference for community health care workers to carry out targeted intervention strategies for quality of life and other related studies.Methods1.Quantitative research: A multi-stage random sampling method was adopted to select300 elderly patients with type 2 diabetes in Lanzhou community from June to December 2022.General situation questionnaire,diabetes quality of life scale,diabetes self-management scale and diabetes self-efficacy scale were used as investigation tools.To investigate the status quo and influencing factors of quality of life,self-management and self-efficacy of elderly type 2diabetes patients in Lanzhou.All data were recorded by Epi Data 3.1 two-person and two-machine.The adoption rate and component ratio were described and the measurement data were described by mean±standard deviation.T test and one-way analysis of variance were used for the difference of influencing factors.Multivariate stepwise regression analysis was used to further establish the factors affecting the quality of life of elderly type 2 diabetes patients in Lanzhou community.2.Qualitative research:Objective sampling method was adopted,and 12 subjects were selected for semi-structured interviews from January to February 2023 according to the results of the questionnaire.Colaizzi7 step method was used to deeply analyze the influencing factors of the quality of life of elderly type 2 diabetes patients in Lanzhou community.Results1.The total score of life quality of elderly patients with type 2 diabetes in Lanzhou community was(55.19±14.50)points,and all items were(2.04±0.54)points.The average score of items from high to low was(2.51±0.42)points for psychological dimension and(2.01±0.32)points for social relationship dimension.The therapeutic dimension was(1.89±0.44)points,and the physiological dimension was(1.79±1.12)points.2.The total score of self-management of elderly patients with type 2 diabetes in Lanzhou community was(35.80±8.40)points,and all items were(3.25±0.76)points.From high to low,they were medical medicine(5.37±2.77)points,diet control(4.41±1.15)points,exercise(3.06±1.51)points.Blood glucose monitoring(2.71±2.15)points,fo ot care 0.00(0.00,1.00).3.The total score of self-efficacy of elderly patients with type 2 diabetes in Lanzhou community was(56.80±7.81)points,with an average score of(7.10±0.98)points.From high to low,the score was as follows: dietary dimension(7.64±1.43)points,blood sugar treatment dimension(6.84±1.12)points,and exercise dimension(6.67±1.78)points.4.Multiple linear regression showed that the total score of diabetes self-management,fasting blood glucose and complications were entered into the regression equation,which together explained 14.1% of the variation.5.Based on the results of semi-structured interview on influencing factors of life quality of 12 elderly patients with type 2 diabetes in Lanzhou community,four themes and 10sub-themes were obtained:(1)Problems caused by poor blood sugar control(obvious headache and dizziness symptoms,poor sleep quality,poor compliance with living care of the disease).(2)Poor emotional regulation(weak health concept,insufficient cognition of negative emotions of disease,adverse emotions emergence).(3)Unbalanced and inadequate social care(care of neighbors,basic medical security,high participation in community activities).(5)Poor therapeutic efficacy(lack of faith,poor self-control).Conclusions1.The quality of life of elderly patients with type 2 diabetes in Lanzhou community is at a medium level.The influencing factors include complications,course of disease,exercise frequency,diet control and fasting blood glucose.2.The self-management of community elderly patients with type 2 diabetes in Lanzhou was at a medium level.Factors were education,occupation,complications,course of disease,alcohol consumption,frequency of child visits,exercise frequency,diet control and body mass index.3.The self-efficacy of community elderly type 2 diabetes patients in Lanzhou is at a high level.The influencing factors included age,marital status,education,occupation,family per capita income,complications,course of disease,route of first detection of diabetes,frequency of exercise,diet control,body mass index and fasting blood glucose. |
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