2型糖尿病患者自我感受负担自我管理水平及应对方式的调查分析  

Investigation and analysis of self perceived burden,self-management level and coping style in patients in type 2 diabetes mellitus

作　　者：张会[1] 张德桂[1] 胡桑[1] 李玲玲[2] 章秋[3] 王艳燕[2] ZHANG Hui;ZHANG Degui;HU Sang(Nursing Department t the Fourth Affiliated Hospital of Anhui Medical University y Hefei 230022,Chin)

机构地区：[1]安徽医科大学第四附属医院护理部,合肥230022 [2]安徽医科大学第四附属医院内分泌科,合肥230022 [3]安徽医科大学第一附属医院内分泌科,合肥230022

出　　处：《安徽医学》2018年第8期1004-1007,共4页Anhui Medical Journal

基　　金：安徽省科技重大专项(17030901017);安徽医科大学临床科学研究项目(2015xkj133)

摘　　要：目的了解2型糖尿病患者自我感受负担、自我管理水平及应对方式的现状,探讨自我感受负担与自我管理水平、应对方式的相关性。方法采用横断面调查法,选取2016年5月至2017年5月在安徽医科大学第四附属医院住院的169例确诊为2型糖尿病的患者为研究对象,发放一般资料调查表、患者自我感受负担量表、糖尿病自我管理行为量表、医学应对方式问卷对患者自我感受负担、自我管理水平等进行调查,采用Pearson相关分析法分析2型糖尿病患者自我感受负担与自我管理水平、应对方式的相关性。结果 94.67%的患者存在不同程度的自我感受负担,自我感受负担得分为(30.54±5.84)分;2型糖尿病患者自我管理的6个维度得分最高的为普通饮食(8.83±1.25)分,最低的为药物(4.05±0.95)分;在疾病治疗期间,患者采取的3种应对方式中得分最高的为面对(17.40±2.66)分,得分最低的为屈服(11.51±1.54)分;2型糖尿病患者自我感受负担得分与回避、屈服方式得分呈正相关关系(r=0.313,0.493,P<0.05),与面对方式、自我管理水平得分呈负相关关系(r=-0.231、-0.161,P<0.05)。结论2型糖尿病患者的自我感受负担处于中度水平,面对是患者在疾病治疗期间采取较多的应对方式,2型糖尿病患者的自我感受负担水平与回避、屈服应对方式正相关,与面对方式、自我管理水平负相关。Objective To analyze the status of self - perceived burden, self-management, and coping styles in patients with type 2 diabetes, and to explore the correlation between self perceived burden and self - management level and coping style. Methods A cross - sectional survey was conducted to select 169 patients diagnosed with type 2 diabetes hospitalized in the Fourth Affiliated Hospital of Anhui Medical University from May 2016 to May 2017 as subjects. General data questionnaire, patient self feeling burden scale, diabetes self - management behavior scale, and medical coping style questionnaire were investigated and studied. The correlation between self - management and coping style of type 2 diabetes patients was analyzed by Pearson correlation analysis. Results In this study, 94.7% of the patients had different degrees of self perceived burden, and the score of self perceived burden was （30. 54 ±5. 84）. The highest score of the 6 dimensions of self - management in type 2 diabetes patients was the general diet （8. 83 ± 1.25 points）,the lowest was the drug （4. 05 ±0. 95 points） ？ Among the three coping styles adopted by the patients during the period of treatment, the highest score was the face （17.40 ＋2.66 points）, and the lowest score was the yield （11.51 ＋1.54 points）. Conclusion The self _ perceived burden of patients with type 2 diabetes is at a moderate level. Face mode is the more coping style taken during the treatment of the disease. Self perceived burden of patients with type 2 di-abetes is positively correlated with avoidance and resignation coping style, and is related with face mode and self - management level.

关 键 词：2型糖尿病 自我感受负担 自我管理 应对方式 

分 类 号：R473.5[医药卫生—护理学]