2型糖尿病患者情绪、应对及心理控制源调查  

Study on emotion, coping and locus of control in patients with type 2 diabetes mellitus

作　　者：付文[1] 何晓燕[1] 曹日芳[1] 王维丹[1] 刘庆敏[1] FU Wen, HE Xiao-yan, CAO Ri-fang, WANG Wei-dan, LIU Qing-min(Hangzhou Center for Disease Control and Prevention, Hangzhou, Zhejiang 310000, Chin)

机构地区：[1]杭州市疾病预防控制中心,浙江杭州310000

出　　处：《现代预防医学》2018年第6期1149-1152,共4页Modern Preventive Medicine

摘　　要：目的调查2型糖尿病患者情绪、应对及心理控制源状况,为社区患者自我管理及心理干预提供依据。方法采用一般资料调查问卷、特质应对方式问卷(TCSQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、多维度健康状况心理控制源量表(MHLC)对某辖区内患者进行问卷调查。结果 (1)焦虑、抑郁情绪发生率分别为38.8%、48.8%,不同性别、学历、收入及婚姻状况在SAS、SDS中差异具有统计学意义(P<0.05);(2)患者消极应对评分高于健康人群、综合医院各类病人(P<0.05),积极应对评分低于健康人群,高于综合医院各类病人(P<0.05),不同学历、高血糖与否在应对问卷中差异具有统计学意义(P<0.05);(3)内在性评分低于常模,有优势的他人、机遇评分高于常模(P<0.05),不同性别在心理控制源问卷中差异具有统计学意义(P<0.05)。结论 2型糖尿病患者焦虑、抑郁发生率高,多选择消极应对,倾向于依赖他人控制病情,女性、低学历、低收入、无配偶、有并发症、有高血糖患者表现明显。Objective To investigate the situation of emotion, coping style and psychological control in patients with type 2 diabetes mellitus, and to provide evidence for the development of self-management and psychological intervention. Methods The general information questionnaire, TCSQ, SAS, SDS, MHLC were used in patients in the area. Results（1） The incidence of anxiety and depression was 38.8% and 48.8% respectively. There were significant differences between SAS and SDS by different gender, education level, income and marital status（P〈0.05）.（2） Negative coping score in patients with type 2 diabetes mellitus was higher than the healthy population and the general hospital patients; positive coping score was lower than the healthy population, and higher than general hospital patients. There were significant differences between TCSQ by different education level and hyperglycemia or not（P〈0.05）.（3） The score of internality was lower than the norm, and the score of superior others and opportunities were higher than that of norm（P〈0.05）. There were significant differences between MHLC by different gender（P〈0.05）. Conclusion Patients with type 2 diabetes have a high incidence of depression, more negative coping, and tend to rely on others to control the disease. The female, less-educated, low-income, no-spouse,complications, hyperglycemic patients have clear manifestations.

关 键 词：糖尿病 焦虑 抑郁 应对 心理控制源 

分 类 号：R395.6[哲学宗教—心理学]