糖尿病患者相关心理痛苦的现状及其影响因素分析

发布时间：2018-01-19 13:10

本文关键词： 糖尿病相关心理痛苦自我管理行为社会支持应对方式影响因素中介效应　出处：《宁夏医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的通过调查糖尿病患者相关心理痛苦的现状,分析糖尿病患者相关心理痛苦与自我管理行为、社会支持、应对方式的相关性;从中介机制角度探讨社会支持、应对方式在糖尿病患者相关心理痛苦与自我管理行为之间的中介效应,为实施切实有效的干预策略,提升患者生活质量提供理论依据。方法采用方便抽样法选取银川市3所三级甲等综合医院内分泌科2016年4月至2016年10月住院的糖尿病患者240例为研究对象。采用一般资料问卷、糖尿病相关心理痛苦量表(DDS)、糖尿病自我管理活动量表(SDSCA)、社会支持评定量表(SSRS)、医学应对方式问卷(MCMQ)进行横断面调查。数据经收集整理后进行统计描述、Logistic回归分析和中介效应分析。结果1.240例调查对象中,伴有糖尿病相关心理痛苦者163例,检出率为67.92%,包括中等痛苦者101例,严重痛苦者62例。2.单因素分析及Logistic回归分析结果显示:家庭人均月收入低、自费、病程短、有糖尿病并发症、患有其他疾病、不能坚持糖尿病管理、自我管理行为得分低、社会支持得分低以及选择屈服应对方式的患者更易发生糖尿病相关心理痛苦。3.糖尿病患者相关心理痛苦各维度与自我管理行为中的血糖监测和足部护理显著负相关,与客观支持、主观支持显著负相关,与屈服显著正相关。4.社会支持在糖尿病相关心理痛苦和自我管理行为之间具有中介作用。结论糖尿病患者发生相关心理痛苦的现象较为普遍;文化程度、家庭人均月收入、医疗付费方式、病程、是否患有糖尿病并发症、是否患有其他疾病、糖尿病治疗同时是否接受其他病治疗、能否坚持糖尿病管理、自我管理行为、社会支持、应对方式均会影响糖尿病患者相关心理痛苦的发生;社会支持在糖尿病患者相关心理痛苦与自我管理行为之间具有中介作用。
[Abstract]:Objective to analyze the correlation between psychological pain and self-management behavior, social support and coping style by investigating the current situation of diabetes patients' related psychological pain. From the perspective of intermediary mechanism, this paper discusses the intermediary effect of social support and coping style between diabetes patients' related psychological pain and self-management behavior, in order to implement effective intervention strategies. Methods the convenient sampling method was used to select 240 diabetic patients hospitalized in the Endocrinology Department of 3 Grade 3A General Hospital in Yinchuan from April 2016 to October 2016. General information questionnaire was used. The Diabetes Mellitus related Psychological pain scale (DDSU), the Diabetes Self-Management activity scale (DMS) and the Social support rating scale (SSRS). Medical coping style questionnaire (MCMQ) was used to conduct cross-sectional survey. Logistic regression analysis and intermediary effect analysis. Results 1. 67.92% of the 67.92% subjects were accompanied with diabetes related psychological pain. The results of univariate analysis and Logistic regression analysis showed that the average monthly income of family was low, self-expense, short course of disease and complications of diabetes. With other diseases, can not adhere to diabetes management, self-management behavior score is low. Patients with low scores of social support and the choice of coping styles were more likely to develop diabetes related psychological pain. 3. The dimensions of diabetes related psychological pain were significantly associated with blood glucose monitoring and foot care in self-managed behavior. Negative correlation. There was a significant negative correlation between subjective support and objective support. Social support plays an intermediary role between diabetes related psychological pain and self-management behavior. Conclusion the phenomenon of diabetes related psychological pain is more common in diabetic patients. Education level, per capita monthly income, medical payment, course of disease, whether there are diabetes complications, whether there are other diseases, diabetes treatment at the same time whether to accept other diseases, whether to adhere to diabetes management. Self-management behavior, social support, coping style will affect the occurrence of psychological pain in patients with diabetes. Social support plays a mediating role between diabetes related psychological pain and self-management behavior.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.5

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