糖尿病患者及配偶二元应对与患者病耻感的相关性研究  

Correlation between dyadic coping and stigma in diabetes patients and their spouses

作　　者：刘秀英 程雪兵[1] 张升平[2] 刘霞[3] 隋萍[4] Liu Xiuying;Cheng Xuebing;Zhang Shengping;Liu Xia;Sui Ping(Department of Endocrine and Metabolic Diseases,Affiliated Hospital of Weifang Medical University,Weifang 261031,China;Operating Room,Affiliated Hospital of Weifang Medical University,Weifang 261031,China;Interventional Vascular Surgery,Affiliated Hospital of Weifang Medical University,Weifang 261031,China;Nursing Department,Affiliated Hospital of Weifang Medical University,Weifang 261031,China)

机构地区：[1]潍坊医学院附属医院内分泌代谢病科,潍坊261031 [2]潍坊医学院附属医院手术室,潍坊261031 [3]潍坊医学院附属医院介入血管外科,潍坊261031 [4]潍坊医学院附属医院护理部,潍坊261031

出　　处：《中华现代护理杂志》2023年第15期2050-2055,共6页Chinese Journal of Modern Nursing

摘　　要：目的调查糖尿病夫妻双方二元应对及患者病耻感现状,并探讨其相关性。方法本研究为横断面研究。采用便利抽样法,选取潍坊市2所三级甲等医院内分泌代谢病科304例糖尿病住院患者及其配偶作为调查对象,采用一般情况调查表、自我病耻感量表、二元应对量表进行问卷调查,采用相关分析、多重线性回归分析检验糖尿病患者及其配偶二元应对得分与糖尿病患者病耻感的关系。结果糖尿病患者病耻感得分为(55.67±10.41)分,二元应对得分为(120.62±17.39)分,配偶的二元应对得分为(121.49±16.59)分。Pearson相关分析显示,夫妻双方的二元应对得分均与患者病耻感总分及各维度得分呈负相关(r值为-0.514~-0.208,P<0.05)。多重线性回归分析结果显示,糖尿病患者及配偶的二元应对水平、家庭人均月收入、职业状态(离退休)、需要照顾者、合并慢性病是糖尿病患者病耻感的影响因素(P<0.05),可解释回归方程39.0%的变异。结论糖尿病患者病耻感处于低等水平,夫妻双方的二元应对水平是糖尿病患者病耻感的影响因素。Objective To explore the dyadic coping of diabetes couples and the status of patients'stigma,and analyze its correlation.Methods This study is a cross-sectional study.A total of 304 inpatients with diabetes and their spouses from the Department of Endocrine and Metabolic Diseases of two ClassⅢGrade A hospitals in Weifang were selected by convenience sampling.A questionnaire survey was conducted using the General Information Questionnaire,Self-Stigma Scale(SSS),and Dyadic Coping Inventory(DCI).The relationship between the dyadic coping of diabetes patients and their spouses and the stigma of diabetes patients were analyzed by correlation analysis and multiple linear regression analysis.Results The scores of stigma and dyadic coping of patients,and the score of dyadic coping of couples were(55.67±10.41),(120.62±17.39)and(121.49±16.59),respectively.Pearson correlation showed that the dyadic coping scores of both spouses were negatively correlated with the total score of the patient's stigma and dimension scores,and the differences were statistically significant(r=-0.514--0.208,P<0.05).Multiple linear regression analysis showed that the dyadic coping of diabetes patients and their spouses,per capita monthly family income,occupational status(retired),need of caregivers,and comorbidity with chronic diseases were the influencing factors of the stigma of diabetes patients,and the difference was statistically significant(P<0.05),which could explain 39.0%of the variation of the regression equation.Conclusions The stigma of patients with diabetes is at a low level.The dyadic coping of both spouses is the influencing factor of stigma in diabetes patients.

关 键 词：糖尿病 配偶 病耻感 二元应对 

分 类 号：R587.1[医药卫生—内分泌]