2型糖尿病患者恐惧疾病进展的现状及影响因素  

Status and influencing factors of fear of progression in patients with type 2 diabetes mellitus

作　　者：廖坤锋 姚依松 杨金盘 杨西宁[4] 李亚如 周红颜 梁飘 Liao Kunfeng;Yao Yisong;Yang Jinpan;Yang Xining;Li Yaru;Zhou Hongyan;Liang Piao(School of Nursing,Guangxi University of Chinese Medicine,Nanning 530200,China;Fourth Clinical School,Qingdao University,Yantai 264001,China;Sichuan Provincial primary health service development research center,Nanchong 637000,China;Department of Nursing,Guangxi Zhuang Autonomous Region Ethnic Hospital,Nanning 530000,China)

机构地区：[1]广西中医药大学护理学院,广西南宁530200 [2]青岛大学第四临床医学院,山东烟台264001 [3]四川省基层卫生事业发展研究中心,四川南充637000 [4]广西壮族自治区民族医院护理部,广西南宁530000

出　　处：《临床荟萃》2023年第12期1095-1100,共6页Clinical Focus

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题——糖尿病患者并发症恐惧现状调查及最小破坏性医学干预研究(z20211361)。

摘　　要：目的调查2型糖尿病(Type 2 diabetes mellitus,T2DM)患者的恐惧疾病进展现状,并分析其影响因素。方法采用便利抽样法选取2022年7-12月于南宁市某三甲医院住院的200例T2DM患者作为研究对象,采用一般资料调查表、恐惧疾病进展量表、自我感受负担量表、领悟社会支持量表进行调查。结果患者恐惧疾病进展量表得分为(30.4±6.44)分,≥34分者为68例(34.0%);自我感受负担量表得分为(23.0±7.91)分,领悟社会支持量表得分为(51.54±9.50)分。决策树模型特异性明显优于多元线性回归模型。综合多元线性回归和决策树模型:职业状态、家庭人均月收入、自我感受负担量表和领悟社会支持量表是T2DM患者恐惧疾病进展的重要影响因素。结论T2DM患者恐惧疾病进展的水平处于中等,医护人员应多关注在职的T2DM患者的心理状况,并采取相关的措施提高患者的社会支持水平和降低其自我感受负担水平,来降低患者的恐惧疾病进展水平,以促进患者的心理健康。Objective To investigate the status and influencing factors of fear of progression(FoP) in patients with type 2 diabetes mellitus(T2DM).Methods The convenience sampling method was performed to enroll 200 patients with T2DM who were hospitalized in a tertiary hospital in Nanning from July 2022 to December 2022 in the research.The general information questionnaire,Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Self-Perceived Burden Scale(SPBS),Perceived Social Support Scale(PSSS) were conducted to investigate.Results The FoP-Q-SF score of patients was(30.4±6.44),and 68 patients(34.0%) had ≥ 34 score;the SPBS score was(23.0±7.91),and the PSSS score was(51.54±9.50).The specificity of decision tree model was significantly better than that of multiple linear regression model.A combination of multiple linear regression with decision tree showed that occupational status,monthly household income per capita,SPBS and PSSS were the influencing factors of FoG in T2DM patients.Conclusion The average status of FoG in T2DM patients is at an intermediate level.Medical staff should pay more attention to the psychological status of in-service T2DM patients,and take relevant measures to improve the social support level of patients and reduce their self-perceived burden level,aiming to reduce FoG level and promote the mental health of patients.

关 键 词：糖尿病 2型 恐惧疾病进展 自我感受负担 领悟社会支持 决策树 

分 类 号：R587.1[医药卫生—内分泌]