糖尿病患者病耻感与心理性胰岛素抵抗的现状及其影响因素  

Status Quo of the Relationship between Stigma and Psychological Insulin Resistance in Diabetics and Its Influencing Factors

作　　者：幸维炜[1] 周佩如[2] 杨青[1] 梁淑茵 罗燕芬 XING Weiwei;ZHOU Peiru;YANG Qing;LIANG Shuyin;LUO Yanfen(Department of Neuro-Oncology,Zhujiang Hospital,Southern Medical University,Guangzhou 510280,Guangdong Province,China;Department of Health Management,The First Affiliated Hospital of Ji’nan University,Guangzhou 510630,Guangdong Province,China)

机构地区：[1]南方医科大学珠江医院神经肿瘤科,广东广州510280 [2]暨南大学附属第一医院健康管理科,广东广州510630

出　　处：《解放军护理杂志》2021年第6期22-26,共5页Nursing Journal of Chinese People's Liberation Army

基　　金：广东省科技计划项目(2017A020215127,2017B 030308008)。

摘　　要：目的探讨糖尿病患者病耻感与心理性胰岛素抵抗的现状及其影响因素。方法2019年2-10月,便利抽样法选取广州市某三级甲等医院住院糖尿病患者170例为研究对象,采用一般资料调查表、慢性疾病患者病耻感评估量表和胰岛素治疗评估量表对其进行调查。结果糖尿病患者的病耻感得分为(53.38±24.05)分,心理性胰岛素抵抗得分为(63.25±14.79)分。糖尿病患者病耻感水平与心理性胰岛素抵抗呈正相关(P<0.01),多元回归分析显示,病耻感水平、性别、病程、治疗方式、是否接受糖尿病相关教育是糖尿病患者心理性胰岛素抵抗的影响因素(均P<0.05),共解释回归方程总变异的39.1%。结论糖尿病患者病耻感水平越高,心理性胰岛素抵抗程度越重。医护人员应加强患者的病耻感评估,降低病耻感水平,改善胰岛素治疗态度。Objective To investigate the status quo and influence factors of stigma and psychological insulin resistance in diabetics.Methods 170 diabetics from a tertiary hospital in Guangzhou were selected by convenience sampling method and were investigated by the general information questionnaire,chronic disease patient stigma assessment scale and insulin treatment assessment scale.Results The total score of stigma and psychological insulin resistance were(53.38±24.05)and(63.25±14.79)respectivly.The stigma level was positively correlated with psychological insulin resistance(P<0.01).And the results of multiple regression analysis showed that the level of stigma,gender,course of disease,treatment methods,and whether to receive diabetes-related education were the influencing factors of diabetics’psychological insulin resistance.Factors accounted for 39.1%of the total variation of the regression equation.Conclusions The higher the stigma level of diabetics,the more severe the psychological insulin resistance.Medical staff should strengthen the patients’stigma assessment,reduce the level of stigma,and improve insulin treatment attitude.

关 键 词：糖尿病 心理性胰岛素抵抗 病耻感 健康教育 

分 类 号：R473.58[医药卫生—护理学]