2型糖尿病患者自我感受负担及相关因素的研究

发布时间：2018-08-23 10:04

【摘要】：目的研究2型糖尿病患者自我感受负担的情况,探讨影响患者自我感受负担水平的相关因素。方法以2014年4月～2014年12月在安徽省某三甲医院内分泌科住院治疗的2型糖尿病患者215例为研究对象,采用一般资料问卷、自我感受负担量表、焦虑自评量表、自尊量表和领悟社会支持量表调查患者,以分析2型糖尿病患者自我感受负担的情况,以及影响因素。正态分布数据采用方差和t检验,偏态分布数据采用Pearson相关分析,采用多元回归分析,分析与SPB密切相关的影响因素。结果(1)2型糖尿病患者自我感受负担平均(25.59±10.58)分,总体处于中度水平；(2)单因素分析结果显示,不同的年龄、居住地、婚姻状况、职业、家庭年收入、宗教信仰、医疗付费类型、糖尿病家族史、并发症个数、低血糖发作和住院次数的患者自我感受负担差异有统计学意义(P0.05)；(3)有焦虑组2型糖尿病患者自我感受负担明显高于无焦虑组(P0.01),尊严丧失组2型糖尿病患者自我感受负担明显高于无丧失组(P0.05),自我感受负担与社会支持总分呈负相关(r=-0.292,P0.01)；(4)通过多元逐步回归分析,2型糖尿病患者自我感受负担的影响因素为：尊严丧失情况,焦虑程度,家庭年收入情况,医疗付费方式,并发症个数和有无糖尿病家族史。结论2型糖尿病患者普遍存在自我感受负担；家庭年收入多少,医疗付费类型,并发症个数和有无糖尿病家族史等是自我感受负担的影响因素；自我感受负担和焦虑及尊严丧失程度呈正相关,与社会支持程度呈负相关。该研究结果提示我们,临床护理工作中我们应关注2型糖尿病患者的心理负担情况,疏导患者的焦虑和负面情绪,评估患者的社会、家庭支持状况,通过减轻患者的自我感受负担,提高患者的自信心,可能有利于糖尿病的长期治疗。
[Abstract]:Objective to study the self-feeling burden of type 2 diabetes mellitus patients and to explore the related factors of self-feeling burden level. Methods from April 2014 to December 2014, 215 patients with type 2 diabetes mellitus who were hospitalized in the Endocrinology Department of a third Class A Hospital in Anhui Province were investigated by general information questionnaire, self-feeling burden scale and self-rating anxiety scale. Self-esteem scale and perceived social support scale were used to analyze the self-perceived burden of type 2 diabetes mellitus and its influencing factors. The normal distribution data were tested by variance and t test, the skewed distribution data were analyzed by Pearson correlation analysis and multivariate regression analysis, and the factors closely related to SPB were analyzed. Results (1) the average self-feeling burden of type 2 diabetes mellitus patients was 25.59 卤10.58, which was in a moderate level, (2) the results of univariate analysis showed that the age, place of residence, marital status, occupation, family income, religious belief and medical payment type were different. The family history of diabetes, the number of complications, hypoglycemia and hospitalization times of patients with self-feeling burden differences were statistically significant (P0.05); (3) the self-feeling burden of type 2 diabetic patients with anxiety group was significantly higher than that of non-anxiety group (P0.01), and the self-feeling burden of type 2 diabetic patients with loss of dignity was significantly higher than that of non-loss group (P0.05). There was a negative correlation between the self-feeling burden and the total score of social support (r-0.292, P0.01). (4) by multiple stepwise regression analysis, the influencing factors of self-feeling burden in type 2 diabetes patients were as follows: loss of dignity, degree of anxiety, annual income of family, medical payment method, number of complications and family history of diabetes mellitus. Conclusion Self-feeling burden is common in patients with type 2 diabetes mellitus, the family income, the type of medical payment, the number of complications and the family history of diabetes mellitus are the influencing factors of self-feeling burden. There was a positive correlation between self-perceived burden and anxiety and loss of dignity, but a negative correlation between self-perceived burden and social support. The results of this study suggest that we should pay attention to the psychological burden of patients with type 2 diabetes mellitus in clinical nursing work, relieve the anxiety and negative emotions of the patients, and evaluate the social and family support of the patients. Reducing the burden of self-feeling and increasing self-confidence may be beneficial to the long-term treatment of diabetes mellitus.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R473.5

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