糖尿病痛苦在老年T2DM患者抑郁症状与自我效能间的中介效应研究  

The mediating effect of diabetic distress on depressive symptoms and self-efficacy in elderly patients with T2DM

作　　者：李莎莎 黄依璇 黄安莉 罗智花[4] 许敏[5] 曹秀菁[1] LI Sha-sha;HUANG Yi-xuan;HUANG An-li;LUO Zhi-hua;XU Min;CAO Xiu-jing(Department of Pediatric Health and Maternal and Child Health,School of Public Health,Anhui Medical University,Hefei 230032,China;Department of Clinical Medicine,The First School of Clinical Medicine,Anhui Medical University,Hefei 230032,China;Nursing College,Anqing Medical College,Anqing 246052,China;Department of Pediatric,First Affiliated Hospital,Anhui Medical University,Hefei 230022,China;Department of Endocrinology,First Affiliated Hospital,Anhui Medical University,Hefei 230022,China)

机构地区：[1]安徽医科大学公共卫生学院,合肥230032 [2]安徽医科大学第一临床医学院,合肥230032 [3]安庆医药高等专科学校护理学院,安庆246052 [4]安徽医科大学第一附属医院儿科,合肥230022 [5]安徽医科大学第一附属医院内分泌科,合肥230022

出　　处：《中华疾病控制杂志》2022年第5期513-516,564,共5页Chinese Journal of Disease Control & Prevention

基　　金：省级质量工程教学研究项目(2020jyxm0614);安徽医科大学基础与临床合作研究提升计划(2020xkjT035)。

摘　　要：目的探讨抑郁症状对社区老年2型糖尿病患者(type 2 diabetes mellitus,T2DM)自我效能的影响,以及糖尿病痛苦在其中的中介作用。方法采用便利抽样的方式对某社区服务管理中心的248名老年T2DM患者进行问卷调查。同时收集一般人口学特征、糖尿病相关信息、自我效能、抑郁症状和糖尿病痛苦情况。多元线性回归分析模型分析抑郁症状对自我效能的影响,Bootstrap法进行中介分析。结果抑郁症状(β=-0.272,P<0.01)和糖尿病痛苦(β=-0.345,P<0.01)是自我效能的影响因素,糖尿病痛苦在抑郁症状与自我效能之间具有中介作用(Boot CI:-2.4602~-0.7839,P<0.05)。结论情绪障碍的改善有利于社区老年T2DM患者自我效能水平的提高。Objective To explore the influence of depression on self-efficacy in elderly patients with type 2 diabetes mellitus(T2DM)in the community and the mediating role of diabetic distress.Methods By convenience sampling,the 248 elderly T2DM patients managed by a community service center were investigated with questionnaire.The general demographic characteristics,diabetes-related information,self-efficacy,depression,and diabetic distress were collected.Multiple linear regression model was used to analyze the influence of depression on self-efficacy,and Bootstrap method was used for mediation analysis.Result Depression(β=-0.272,P<0.01)and diabetes distress(β=-0.345,P<0.01)were associated risk factors of self-efficacy,and diabetes distress played a mediating role between depression and self-efficacy(Boot CI:-2.4602~-0.7839,P<0.05).Conclusion An important way to enhance the level of self-efficacy of elderly patients with T2DM in the community may be improving emotional disorder.

关 键 词：2型糖尿病 自我效能 抑郁症状 糖尿病痛苦 

分 类 号：R587.1[医药卫生—内分泌]