老年2型糖尿病患者医学应对现状及影响因素研究

发布时间：2018-01-06 14:31

本文关键词：老年2型糖尿病患者医学应对现状及影响因素研究　出处：《辽宁医学院》2015年硕士论文　论文类型：学位论文

【摘要】：目的本研究旨在了解老年2型糖尿病患者的医学应对方式现状,找出相关影响因素,以引起临床护理工作者的关注,为老年2型糖尿病患者的护理工作提供一定理论依据。方法本研究采用便利抽样法,于2014年3月至2014年7月,在锦州市、承德市各1所三级甲等医院内分泌科室共选取228例老年2型糖尿病患者。应用中文版医学应对问卷(Medical Coping Modes Questionnaire,MCMQ)进行调查。利用SSPS17.0对所得数据进行统计学分析,分别利用独立样本t检验,F检验和多重线性逐步回归分析的方法,来探讨老年2型糖尿病患者的医学应对现状及其影响因素。结果1、老年2型糖尿病患者中倾向“面对”者136例(59.65%),倾向“回避”者70例(30.70%),倾向“屈服”者例22例(9.55%)。2、不同文化程度、地域、医疗负担方式、病程的老年2型糖尿病患者在医学应对问卷各维度上的得分,均存在统计学意义的差异(P0.05)。3、老年2型糖尿病患者医学应对问卷各维度影响因素的多重线性逐步回归分析显示:(1)进入“面对”维度回归方程的有文化程度、病程、医疗负担方式、性别(F=294.82,P0.05);(2)进入“回避”维度回归方程的有文化程度、病程、地域、医疗负担方式(F=191.35,P0.05);(3)进入“屈服”维度回归方程的仅有文化程度(F=580.12,P0.05)。结论1、老年2型糖尿病患者医学应对问卷中的得分积极应对得分低于全国常模,消极应对得分高于全国常模。2、不同文化程度、地域、医疗负担方式、病程的老年2型糖尿病患者所采取的医学应对方式各不相同。其中,文化程度高、有医疗保障、病程短者更趋向于积极面对疾病,文化程度低、无医疗保障、病程长者则趋向于消极应对;从整体上看,相比于锦州地区而言,承德地区患者的积极应对水平较高。3、老年2型糖尿病患者的医学应对问卷各维度得分中,对“面对”维度得分影响有意义的是文化程度、病程、医疗负担方式、性别;对“回避”维度得分影响有意义的是文化程度、病程、地域、医疗负担方式;对“屈服”维度得分影响有意义的是文化程度。
[Abstract]:Objective to investigate the current situation of medical coping style in elderly patients with type 2 diabetes mellitus and to find out the relevant influencing factors so as to attract the attention of clinical nursing workers. Methods convenience sampling method was used in this study, from March 2014 to July 2014, in Jinzhou City. 228 elderly patients with type 2 diabetes were selected from the Department of Endocrinology, 1 Grade 3A Hospital in Chengde City. The Chinese version of Medical coping questionnaire was used (. Medical Coping Modes Questionnaire. SSPS17.0 was used to analyze the data, and the independent sample t-test F test and multiple linear stepwise regression analysis were used. Results 1 136 elderly patients with type 2 diabetes were prone to "face" and 59.65). There were 70 cases with "avoidance" and 22 cases with "yield" with different education level, region and medical burden. There were statistically significant differences in the scores of medical coping questionnaire in the aged type 2 diabetes patients with the course of disease (P0.050.3.). Multiple linear stepwise regression analysis of the influencing factors of medical coping questionnaire for elderly patients with type 2 diabetes showed that: 1) entering the "face" dimension regression equation had the education level, course of disease, and the way of medical burden. FV 294.82 (P0.05); (2) the students who entered the regression equation of "avoidance" dimension included education level, course of disease, region, and medical burden mode (F191.35 / P0.05); (3) the education level of the regression equation of "yield" dimension is only FY580.12 / P0.050.Conclusion 1. The score of positive coping in the medical coping questionnaire of elderly type 2 diabetes patients was lower than that of the national norm, and the score of negative coping was higher than that of the national norm. The course of the elderly type 2 diabetes patients adopted different medical coping styles. Among them, the high level of education, there is medical security, short course of disease more tend to face the disease, low level of education, no medical security. The duration of the elderly tend to negative coping; On the whole, compared with Jinzhou area, Chengde patients' positive coping level is higher. The scores of medical coping questionnaire of elderly type 2 diabetes patients are in each dimension. The significant influence on the dimension score of "face" is the education level, the course of disease, the way of medical burden, the sex; The significant influence on the dimension score of "avoidance" is the degree of education, the course of disease, the region and the way of medical burden. It is the level of education that makes sense to the score of the subjugation dimension.
【学位授予单位】：辽宁医学院
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.5

【共引文献】