划分与糖尿病相关的轻度认知障碍患者的自我管理集群:一个横截面研究
Yun-Xian Wang1,2, Yuan-Jiao Yan3, Rong Lin1
1The School of Nursing, Fujian Medical University, Fuzhou, China.
Journal of clinical nursing
|January 29, 2024
概括
这项研究在糖尿病和轻度认知障碍的老年患者中发现了三种不同的自我管理风格. 这些分类可以为个性化策略提供信息,以改善自我管理和减缓疾病进展.
科学领域:
- 老年学是一门学科.
- 内分泌学 在内分泌学.
- 心理学 心理学 心理学
背景情况:
- 轻度认知障碍 (MCI) 和糖尿病 (DM) 经常在老年人中并存.
- 有效的自我管理对于管理DM等慢性疾病至关重要,但患者的能力有很大差异.
- 自主管理能力的异质性对开发有效干预提出了挑战.
研究的目的:
- 开发一种分类方法,用于MCI和DM的老年患者的自我管理集群.
- 评估这些已识别的集群中的自我管理能力.
- 为个性化自我管理策略提供基础.
主要方法:
- 进行了一项涉及235名参与者的横截面研究.
- 集群分析,包括k-means和等级方法,使用SPSS 21.0.0.
- 糖尿病自我管理量表评估了患者的自我管理能力.
主要成果:
- 确定了三个不同的自我管理集群:疾病疏忽类型 (9.78%),以生活为导向的类型 (32.77%) 和医疗依赖类型 (57.45%).
- 在集群中,在自主管理的六个维度中观察到具有统计学意义的差异.
- 医疗依赖类型是最普遍的自我管理风格.
结论:
- 该研究成功地将患有MCI和DM的老年患者分为三个独特的自我管理风格组.
- 了解这些集群特征对于定制自我管理干预措施至关重要.
- 基于这些类型的个性化护理可以提高自我管理的效率,并可能延迟疾病的进展.
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