2型糖尿病发病与生活事件的相关性  

Correlation between life events and occurrence of type 2 diabetes mellitus

作　　者：李英华[1] 

机构地区：[1]深圳市第二人民医院预防保健科,广东省深圳市518039

出　　处：《中国临床康复》2004年第15期2808-2809,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:研究2型糖尿病发病与生活事件的相关性,寻求干预的可能性。方法:95例2型糖尿病患者(糖尿病组),按相同年龄、性别、民族、文化程度、婚姻状态和居住地与健康人(对照组)1:1配对对照,并调查两组入选对象发病前3年遭遇的生活事件,分别计算出生活事件频度(lifeeventsfrequency,LEF)和强度(lifeeventsintensity,LEI)。结果:95例2型糖尿病患者发病前3年有87例遭遇不同的生活事件,遭遇率为91.6%,明显高于对照组(分别为38例和40.0%;χ2=56.15,P<0.01)。糖尿病组遭遇LEF(5.92±0.48)件/例,负性LEF(5.21±0.41)件/例,LEI平均值(20.80±4.36),负性LEI平均值(17.49±3.53)均明显高于对照组(0.88±0.21,0.29±0.04,6.65±1.73,3.27±0.40)(t=2.527～2.836,P均<0.05),但两组间正性LEF和LEI平均值无明显区别(P均>0.05),糖尿病组遭遇生活事件内容排序前3位分别是家庭生活环境变化、自我健康情况和不良人际关系。结论:2型糖尿病患者发病与遭遇LEF,LEI平均值和负性LEF,LEI平均值密切相关,对前者的治疗和预防中,心理干预也应被重视。AIM:To study the relation between life events and occurrence of type 2 diabete s mellitus, and to discuss the possibility of psychological intervention. METHODS: Totally 95 type 2 diabetic patients (diabetic group, DG) were matched with the normal subjects (control group, CG) by same age, sex, height, weight, nationality, cultural level, marriage and dwelling place at the ratio of 1∶1,li fe events of three years before the occurrence of type 2 diabetes were investiga ted in both groups, and the life events frequency (LEF) and life events intensit y (LEI) were calculated respectively. RESULTS:The incidence rate of meeting LE was 91.6%(87/95) in the DG, obviousl y higher than that in the CG (40.0%, 38/95) (χ2=56.15,P< 0.01)during the first three years after onset.The LEF[(5.92±0.48)/cases], negative LEF[(5.21±0.41)/ cases], average value of LEI (20.8±4.36), average value of negative LEI (17.49 ±3.53) in the DG were obviously higher than those in the CG (0.88±0.21, 0.29± 0.04, 6.65±1.73 and 3.27±0.40) (t=2.527-2.836,P< 0.05), but there were no obv ious differences in positive LEF and LEI between the two groups (P >0.05). The l ife events in the first three places in the DG were change of family living surr oundings, individual health and bad interpersonal relationship. CONCLUSION:It is suggested that the occurrence of type 2 diabetes mellitus is closely related to the average values of LEF and LEI as well as negative LEF and LEI. We should pay more attention to the psychological interventions in the tre atment and prevention of type 2 diabetes mellitus.

关 键 词：2型糖尿病 生活事件 人际关系 生活环境 

分 类 号：R587.1[医药卫生—内分泌]