目的 了解老年2型糖尿病患者的体力活动现状并分析其影响因素。方法 采用便利抽样法,于2022年10月—2023年5月选取南京市某三级甲等医院内分泌科住院的222例老年2型糖尿病患者为研究对象。采用一般资料调查表、糖尿病自我管理行为量表及国际体力活动问卷进行调查。结果 老年2型糖尿病患者总体力活动代谢量为1 482（1 053,2 203）MET-min/周,休闲类体力活动代谢量为540.00（360.00,900.00）MET-min/周;55.4%的老年2型糖尿病患者采取低强度体力活动。多重线性回归结果显示,糖尿病病程、糖化血红蛋白、抑郁及自我管理能力进入回归方程（P<0.05）,共解释总变异的47.7%。结论 老年2型糖尿病患者以休闲类和低强度体力活动为主,糖尿病病程、糖化血红蛋白、抑郁及自我管理能力是其体力活动的主要影响因素。
Abstract
Objective To understand the current status of physical activity of elderly patients with type 2 diabetes and analyze its influencing factors. Methods From October 2022 to May 2023, convenience sampling was used to select 222 elderly patients with type 2 diabetes in a tertiary grade-A hospital in Nanjing. The survey was conducted using the General Information Questionnaire,the Diabetes Self-management Activity Scale and the International Physical Activity Questionnaire (IPAQ)-long. Results The total metabolic capacity of physical activity in elderly patients with type 2 diabetes was 1482 (1 053, 2 203) MET min/w, and the metabolic capacity of leisure physical activity was 540.00 (360.00, 900.00) MET min/w; 55.4% of the elderly patients with type 2 diabetes took low-intensity physical activity. Multiple linear regression showed that the course of diabetes, glycosylated hemoglobin, depression and self-management ability entered the regression equation (P<; 0.05), accounting for 47.7% of the total variation. Conclusion Elderly patients with type 2 diabetes are mainly engaged in leisure and low-intensity physical activities. The course of diabetes, glycosylated hemoglobin, depression and self-management ability are the main influencing factors of their physical activities.
关键词
老年 /
2型糖尿病 /
自我管理 /
体力活动 /
影响因素
Key words
elderly patient /
type 2 diabetes /
self-management /
physical activity /
influencing factor
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基金
江苏省实践创新计划项目（SJCX23_0726）; 南京鼓楼医院护理科研项目（2023-A476）
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