中青年2型糖尿病患者心理弹性的影响因素分析

Influencing factors for resilience of young and middle-aged patients with type 2 diabetes mellitus

目的分析中青年2型糖尿病(T2DM)患者的心理弹性水平及其影响因素,为优化T2DM患者心理干预措施提供依据。方法选取2019年9月―2020年9月在浙江大学医学院附属杭州市第一人民医院就诊的中青年T2DM患者为调查对象,采用一般情况调查表、领悟社会支持量表(PSSS)、心理弹性量表(CD-RISC)、糖尿病痛苦量表(DDS)和糖尿病管理自我效能量表(DMSES)进行调查;采用多重线性回归模型分析中青年T2DM患者心理弹性的影响因素。结果共发放问卷250份,回收有效问卷238份,回收有效率为95.20%。调查男性142例,占59.66%;女性96例,占40.34%;45~59岁168例,占70.59%。CD-RISC得分为(70.49±12.81)分,PSSS得分为(63.70±10.90)分,DDS得分为(2.14±0.87)分,DMSES得分为(130.22±38.49)分。多重线性回归分析结果显示,文化程度、家庭人均月收入、空腹血糖、自我效能、社会支持和心理痛苦是中青年T2DM患者心理弹性的影响因素(P<0.05)。结论中青年T2DM患者心理弹性水平可能与文化程度、家庭经济收入、血糖控制水平、心理痛苦、自我效能及社会支持相关。

Objective To analyze the level of resilience and its influencing factors in the young and middle-aged patients with type 2 diabetes mellitus(T2DM),so as to provide reference for optimizing mental interventions for the patients.Methods The young and middle-aged patients with T2DM from September 2019 to September 2020 in Hangzhou First People’s Hospital,affiliated to the Medical School of Zhejiang University,were selected as the subjects,the general information questionnaire,Perceived Social Support Scale(PSSS),Conner-Davidson Resilience Scale(CD-RISC),Diabetes Distress Scale(DDS)and Diabetes Management Self-efficacy Scale(DMSES)were used to investigate,the multivariate linear regression model was used to analyze the influencing factors for resilience in young and middle-aged patients with T2DM.Results A total of 250 questionnaires were distributed and 238 valid questionnaires were recovered.The effective recovery rate was 95.20%.Among 238 patients,142 cases(59.66%)were males and 96 cases(40.34%)were females;168 cases(70.59%)were 45-59 years old.The CD-RISC score was 70.49±12.81,PSSS score was 63.70±10.90,DDS score was 2.14±0.87,and DMSES score was 130.22±38.49.The results of multivariate regression analysis indicated that educational level,average monthly family income,fasting blood glucose,self-efficacy,social support and diabetes distress were the influencing factors for resilience of young and middle-aged patients with T2DM(P<0.05).Conclusion The level of mental resilience in young and middle-aged patients with T2DM is mainly related to the level of education,monthly family income,blood glucose control,diabetes distress,self-efficacy and social support.