青少年1型糖尿病患者自我损耗水平与血糖控制及生命质量的相关性分析  

Association of Ego-depletion level with glycemic control and quality of life among adolescents with type 1 diabetes

作　　者：王洪[1] 周美景 于健 沈敏 朱敏[1] 罗丹 施云[1] 张梅[1] 徐晶晶 杨涛[1] Wang Hong;Zhou Meijing;Yu Jian;Shen Min;Zhu Min;Luo Dan;Shi Yun;Zhang Mei;Xu Jingjing;Yang Tao(Department of Endocrinology and Metabolism,the First Affliated Hospital of Nanjing Medical University,Nanjing 210029,China;Department of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,China;Department of Nursing,Women and Children Branch Hispital,the First Afiliated Hospital of Nanjing Medical University,Nanjing 210036,China)

机构地区：[1]南京医科大学第一附属医院内分泌科,南京210029 [2]南京中医药大学护理学院,南京210023 [3]南京医科大学第一附属医院妇幼分院护理部,南京210036

出　　处：《中国实用护理杂志》2023年第20期1569-1575,共7页Chinese Journal of Practical Nursing

基　　金：江苏省人民医院临床能力提升工程(JSPH-NC-2020-8);湖南省三诺糖尿病公益基金会“甜蜜医生培育项目”(2022SD01)。

摘　　要：目的探讨青少年1型糖尿病患者自我损耗水平及其与血糖控制、生命质量的关系。方法本研究为横断面调查研究。采用便利抽样法, 选取2022年3-9月在南京医科大学第一附属医院就诊的青少年1型糖尿病患者195例, 采用自我调节疲劳量表衡量自我损耗程度、中文版简易青少年糖尿病生命质量量表及一般情况调查表对患者进行调查, 高效液相色谱法检测患者糖化血红蛋白值。结果青少年1型糖尿病患者自我损耗得分为(42.23 ± 9.94)分, 得分率为52.79%, 处于中等水平状态。自我损耗总分与糖化血红蛋白值呈正相关(r = 0.25, P<0.01), 与生命质量得分呈负相关(r = - 0.61, P<0.01)。分层线性回归分析结果显示, 控制人口社会学和疾病变量后, 自我损耗对糖化血红蛋白值具有正向预测作用(t = 3.69, P<0.01), 而自我损耗对生命质量具有负向预测作用(t = -8.48, P<0.01)。结论青少年1型糖尿病患者自我损耗会影响其血糖控制、生命质量, 值得医护人员关注。Objective To investigate the ego-depletion level of adolescents with type 1 diabetes mellitus(T1DM)and to explore its association with glycemic control and quality of life.Methods This was a cross-sectional survey study.A total of 195 adolescents with T1DM were recruited from the First Affiliated Hospital of Nanjing Medical University from March to September 2022 by convenient sampling method.The Self-Regulatory Fatigue Scale(SRF-S)and Short Form of the Chinese version Diabetes Quality of Life for Youth Scale(C-DQOLY-SF)and the general information questionnaire were collected and the glycated hemoglobin(HbAic)value was detected.Results The total score of self-regulatory fatigue for 195 adolescents with T1DM was(42.23±9.94)points,with a scoring rate of 52.79%,which was at a medium level.Pearson correlation analysis showed that the total score of self-regulatory fatigue was positively correlated with HbA1c(r=0.25,P<0.01),and negatively correlated with quality of life(r=-0.61,P<0.01).The hierarchical linear regression results showed that after controlling for demographic sociolagy and disease variables,ego-depletion had a positive predictive effect on HbAlc(t=3.69,P<0.01),while ego-depletion had a negative predictive effect on Quality of life(t=-8.48,P<0.01).Conclusions Ego-depletion of adolescents with T1DM may affect their blood glucose control and quality of life,which should be noticed by medical workers.

关 键 词：糖尿病 1型 生活质量 自我损耗 血糖控制 

分 类 号：R473.72[医药卫生—护理学]