2型糖尿病患者心理痛苦评估及其相关因素分析  

Psychological distress and related factors in patients with type 2 diabetes mellitus:A survey study

作　　者：郝书婕 周欢欢[2] 袁晓丹[3] 刘林[3] 楼青青[3] 

机构地区：[1]南京中医药大学护理学院,210023 [2]常州市第一人民医院心胸外科 [3]南京中医药大学附属中西医结合医院健康教育科

出　　处：《中国糖尿病杂志》2017年第9期805-811,共7页Chinese Journal of Diabetes

基　　金："江苏省六大人才高峰"基金资助项目(2014-WSN-025)

摘　　要：目的评估T2DM患者心理痛苦并分析其相关因素。方法采用一般情况调查表、糖尿病痛苦量表,对南京市某三甲医院363例T2DM患者进行调查。结果 T2DM患者痛苦得分为(32.27±13.09)分。无或轻度痛苦210例(57.85%),中度痛苦84例(23.14%),重度痛苦69例(19.01%);多元逐步回归分析结果显示,睡眠时间是T2DM患者心理痛苦的影响因素(β=-2.212,P=0.029),解释总变异度的9.5%。在各维度下,睡眠时间也是情感负担维度的影响因素(β=-0.379,P=0.044),解释总变异度的28.4%;是否体育锻炼(β=-0.185,P=0.004)、糖尿病治疗方式(β=0.152,P=0.018)、是否与医务人员一起制定饮食计划(β=-0.169,P=0.009)是生活规律相关痛苦维度的影响因素,共同解释总变异度的10.9%。结论 42.15%的T2DM患者存在中度或以上心理痛苦,而这种心理痛苦与睡眠时间、是否体育锻炼、治疗方式、是否与医务人员一起制定饮食计划有关。针对这些因素,应重视改善T2DM患者睡眠,同时培养其应对综合治疗的自我管理能力,以减轻心理痛苦。Objective To assess the level of psychological distress and examine its associated factors in patients with type 2 diabetes mellitus（T2DM）. Methods A total of 363 patients with T2DM from a Chinese tertiary hospital were investigated with Diabetes Distress Scale（DDS17）. Results The mean score of Diabetes Distress（DD） was 32.27＋13.09 in patients with T2DM. There were 210（57.85%） patients with little or no diabetes-related distress, 84（23.14 %） with moderate diabetes-related distress and 69（19.01%） with high diabetes-related distress. Multiple linear regression analysis showed that sleep duration（β=- 2. 212, P= 0. 029）was the influencing factor of DD, which could explain 9.5% of the variance. Sleep duration（β=- 0. 379, P = 0. 044）was also the influencing factor of emotional burden subscale,which could explain 28. 4% of the variance. Physical exercise （β=- 0. 185, P = 0. 004）, treatments（β=0. 152,P= 0. 018） and developing diet plans with medical staff（β=- 0. 169, P= 0. 009） were influencing factors of regimen-related distress, which could explain 10.9% of the variance. Conclusion 42.15% T2DM patients suffered from moderate or high DD, which is related to sleep duration, physical exercise, treatments and diet plans. In order to alleviate the psychological distress, we should pay attention to improve the sleep quality of patients and training the self-management skills.

关 键 词：糖尿病 2型 痛苦 

分 类 号：R587.1[医药卫生—内分泌]