自我表露和家庭成员支持行为在中青年女性糖尿病患者病耻感和妇女角色压力中的中介作用  

Mediating role of self-disclosure and family member support behaviors in diabetes-related stigma and women's role stress in middle-aged and young female diabetes patients

作　　者：黄建娇 余雪菲 金洁娜 Huang Jianjiao;Yu Xuefei;Jin Jiena(Department of Endocrinology,Wenzhou Central Hospital,Wenzhou 325000,China)

机构地区：[1]温州市中心医院内分泌科,温州325000

出　　处：《中华现代护理杂志》2025年第13期1798-1803,共6页Chinese Journal of Modern Nursing

基　　金：温州市基础性公益科研项目(Y20240271)。

摘　　要：目的探讨病耻感对中青年女性糖尿病患者妇女角色压力的影响及自我表露和家庭成员支持行为的链式中介作用。方法采用便利抽样法,选取2022年5月—2024年6月在温州市中心医院诊疗的228例中青年女性糖尿病患者为研究对象。采用一般资料调查表、糖尿病妇女角色压力量表、中文版2型糖尿病病耻感评估量表、自我表露量表和中文版糖尿病患者家庭成员行为量表对患者进行调查。采用Pearson相关分析对妇女角色压力、病耻感、自我表露和家庭成员支持行为间的相关性进行检验。采用AMOS 26.0软件构建结构方程模型考察自我表露和家庭成员支持行为在病耻感与妇女角色压力间的链式中介效应。本研究共发放问卷228份,回收有效问卷223份,问卷有效回收率为97.81%(223/228)。结果223例中青年女性糖尿病患者妇女角色压力量表得分为(36.26±5.31)分,条目均分为(3.30±0.51)分。结构方程模型分析结果显示,自我表露和家庭成员支持行为在病耻感与妇女角色压力间的链式中介效应成立,总间接效应占总效应的35.52%,其中自我表露和家庭成员支持行为在病耻感与妇女角色压力间的链式中介效应占总效应的12.36%,自我表露在病耻感与妇女角色压力间的中介效应占总效应的23.16%。结论中青年女性糖尿病患者妇女角色压力属中等偏高水平。护理人员应着重减轻患者的病耻感,积极引导患者进行自我表露,并强化与家庭成员的交流合作,提升其对患者的支持力度,从而有效减轻患者的妇女角色压力。Objective To explore the impact of diabetes-related stigma on women's role stress in middle-aged and young female diabetes patients and the chain mediating effect of self-disclosure and family member support behaviors.Methods A convenience sampling method was used to select 228 middle-aged and young female diabetes patients receiving treatment at Wenzhou Central Hospital from May 2022 to June 2024.General information surveys,the Diabetes Women's Role Stress Scale,the Chinese Version of Type 2 Diabetes Stigma Assessment Scale,Distress Disclosure Index,and the Chinese Diabetes Patient Family Member Behavior Scale were used for data collection.Pearson correlation analysis was conducted to examine the relationships between women's role stress,diabetes-related stigma,self-disclosure,and family member support behaviors.AMOS 26.0 software was used to investigate the chain mediating effects of self-disclosure and family member support behaviors between stigma and women's role stress.A total of 228 questionnaires were distributed,with 223 valid questionnaires returned,resulting in a valid response rate of 97.81%(223/228).Results The average score on the Women's Role Stress Scale for the 223 patients was(36.26±5.31),with an average item score of(3.30±0.51).Structural equation modeling showed that self-disclosure and family member support behaviors significantly mediated the relationship between diabetes-related stigma and women's role stress.The total indirect effect accounted for 35.52%of the total effect.Specifically,self-disclosure and family member support behaviors accounted for 12.36%,while self-disclosure alone accounted for 23.16%of the total effect.Conclusions The level of women's role stress in middle-aged and young female diabetes patients is moderately high.Nursing staff should focus on reducing patients'diabetes-related stigma,actively guide self-disclosure,and enhance communication and collaboration with family members to increase their support,thereby effectively reducing the patients'women's role stress.

关 键 词：糖尿病 妇女角色压力 病耻感 自我表露 家庭成员支持行为 中介效应 

分 类 号：R473.5[医药卫生—护理学]