上海不同级别医院门诊糖尿病患者情绪调节与心理调查分析  

The investigation on the self emotion management and psychology status of diabetic patients in different tiered hospitals in Shanghai.

作　　者：周莹霞[1] 赵列宾[1] 陆骆[1] 陈钦达[1] 苏莉珍[1] 王琴琴[1] 盛宏光[2] 陈玲 张兴元 施荣康 沈世豪 孟鸿建 宁光[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院糖尿病中心上海市内分泌代谢病临床医学中心,上海200025 [2]上海市徐汇区中心医院,上海200031 [3]上海市卢湾区中心医院,上海200023 [4]上海市天山中医院,上海200051 [5]上海市周家桥社区卫生服务中心,上海200051 [6]上海市仙霞社区卫生服务中心,上海200003 [7]上海市程家桥社区卫生服务中心,上海201103

出　　处：《中国实用内科杂志》2009年第8期726-728,共3页Chinese Journal of Practical Internal Medicine

基　　金：上海申康医院发展中心课题(SHDC12007318)

摘　　要：目的研究在上海不同级别医疗机构中,门诊糖尿病患者的心理问题与情绪调节,以及其他相关因素之间的差异。方法随机选择2005年8月至9月上海市不同级别医院糖尿病患者792例,在门诊开展问卷调查。结果被调查医疗机构中的糖尿病患者血糖控制达标率较低。一级医疗机构就诊的糖尿病患者文化程度相对较低、年龄较大。二、三级医院的患者病程短,但并发症较多。在情绪自我管理中,能经常用深呼吸和引导性想象缓解压力的患者分别占6.1%和4.3%,能通过与自己积极谈话,听音乐、肌肉放松来缓解心理不适的分别为12.2%、22.9%和12.9%。在就医时能事先做好准备的仅占13.5%。所调查的对象中,伴有抑郁和焦虑的患者也占有一定比例,其血糖控制水平较差。结论被调查的不同级别医院,糖尿病血糖控制有待加强。各级医院应结合各自就诊患者特点,在开展临床治疗和健康教育中,进一步教授患者情绪调节方法,以积极应对心理问题,更好控制血糖。Objective To find the differences and the related factors in diabetic self emotion management and psychology status in different tiered hospitals in Shanghai. Methods 792 diabetes patients were enrolled randomly and were tested by a questionnaire in outpatient department. Results The percentage of poor diabetes control was higher in all of these hospitals. In primary hospitals, a lot of patient＇s educational background was junior high school and primary school, and many patients were elder. In the second tiered and the third tiered hospitals, the age of these patients were younger, but the duration of diabetes was shorter,the acute and chronic complications were more than those in community hospitals. In this study, we found that many patients had no good ways to control their emotion. There were 6. 1% and 4. 3% patients can relax themselves by deep breath and imagination, and 12. 2% patients could talk with themselves to manage their emotion. Music and body relaxing were also be used by diabetic patients. Only 13.5% patients would do some preparation beore to see doctor. In this study ,we also found there are some patients with depression and anxiety ,these patients were usually with poor blood glucose control. Conclusion We still have to work hard to promote the effect of diabetes control. In different hospitals, patients had different characteristics. It means they need to have individual health education and management program. It is very important to help diabetes patients to know how to control their emotion. It is very useful to cope with these problem actively and to control blood glucose effectively.

关 键 词：糖尿病 心理问题 情绪调节 

分 类 号：R5[医药卫生—内科学]