Abstract: Objective　To compare the self-management behavior and quality of life between fasting and non-fasting Hui patients with diabetes,and to provide evidence for the self-management of Hui patients with diabetes.Methods　A total of 85 Hui patients with diabetes,who were treated in a medical institution from June 18th to July 17th in 2015 （month of fasting）,were divided into fasting group （n=40） and non-fasting group（n=45） according to whether they were fasting.A face-to-face survey was conducted with questionnaire method.The questionnaire was divided into 3 parts:basic condition,Type 2 Diabetes Self-care Scale （2-DSCS） and Diabetes Specific Quality of Life （DSQL）.85 questionnaires were distributed and 85 valid questionnaires were collected.The effective response rate was 100.0%.Results　There were significant differences in dimensional scores of diet control,medication compliance,blood glucose monitoring,foot care,prevention and treatment of high/low blood sugar and total scores of self-management behavior between two groups and national norm group （P<0.05）,while there was no significant difference in the score of regular exercise dimension（P>0.05）;the dimensional scores of diet control,medication compliance,blood glucose monitoring,foot care,prevention and treatment of high/low blood sugar and total scores of self-management behavior in fasting group and non-fasting group were significantly higher than those in national norm group （P<0.05）;the dimensional scores of foot care and prevention and treatment of high/low blood sugar and total scores of self-management behavior in fasting group were significantly lower than those in non-fasting group （P<0.05）.The scores of physiology and treatment dimensions and the total scores of quality of life in fasting group were significantly higher than those in non-fasting group （P<0.05）;there was no significant difference in the score of psychology/spirit and social relationship dimensions between the two groups （P>0.05）.Conclusion　The self-management behavior of Hui patients with diabetes is good on the whole.The performance of fasting diabetic patients in foot care,prevention and treatment of high/low blood sugar and overall self-management behavior is worse than that of non-fasting diabetic patients and their performance of physiology,treatment and overall quality of life is also lower than that of non-fasting diabetic patients.Therefore,during the month of fasting,special attention should be paid to the management and guidance of fasting diabetic patients so as to improve their self-management ability and quality of life.

Key words: Diabetes mellitus, Fasting, Self-management behavior, Quality of life, Hui nationality

摘要： 目的　比较斋戒与非斋戒回族糖尿病患者自我管理行为及生存质量，为回族糖尿病患者自我管理的指导提供依据。方法　选取2015-06-18至2015-07-17（斋月）在某医疗机构就诊的回族糖尿病患者85例，根据是否斋戒分为斋戒组（n=40）和非斋戒组（n=45）。采用问卷调查法，对患者进行面对面调查。问卷分为基本情况、2型糖尿病自我管理行为量表（2-DSCS）和糖尿病生存质量特异性量表（DSQL）3部分。共发放问卷85份，回收有效问卷85份，有效回收率为100.0%。结果　两组及国内常模的饮食控制、遵医嘱服药、血糖监测、足部护理、预防和处理高/低血糖维度得分及自我管理行为总分间差异有统计学意义（P<0.05），而规律锻炼维度得分间差异无统计学意义（P>0.05）；其中斋戒组、非斋戒组饮食控制、遵医嘱服药、血糖监测、足部护理、预防和处理高/低血糖维度得分及自我管理行为总分高于国内常模，差异有统计学意义（P<0.05）；斋戒组足部护理、预防和处理高/低血糖维度得分及自我管理行为总分低于非斋戒组，差异有统计学意义（P<0.05）。斋戒组生理、治疗维度得分及生存质量总分高于非斋戒组，差异有统计学意义（P<0.05）；两组心理/精神、社会关系维度得分间差异无统计学意义（P>0.05）。结论　回族糖尿病患者自我管理行为整体较好。斋戒糖尿病患者在足部护理、预防和处理高/低血糖以及总体自我管理行为方面均较非斋戒糖尿病患者低，而且生理、治疗及总体生存质量亦较非斋戒糖尿病患者低。因此，在斋月期间要特别关注对斋戒糖尿病患者的管理与指导，以提高患者的自我管理能力及生存质量。

关键词: 糖尿病, 斋戒, 自我管理行为, 生存质量, 回族