老年糖调节受损者不同转归情况应对方式的比较研究

Coping Strategies of the Elderly with Impaired Glucose Regulation of Different Prognosis

目的:探讨老年糖调节受损(IGR)者的应对方式特点,并比较不同转归情况的老年IGR者应对方式的差异。方法:对220例老年IGR者的空腹血浆葡萄糖(FPG)及口服葡萄糖试验2小时血浆葡萄糖(OGTT2hPG)进行测定,并用特质应对方式问卷(TCSQ)对其应对方式进行评定,对不同转归情况的老年IGR者应对方式的差异进行比较。结果:老年IGR者的应对方式总体上是比较积极的,积极应对得分高于国内常模(P<0.001);有27.73%～78.64%的老年IGR者采用不同形式的积极应对方式,而4.09%～18.18%采取消极应对方式;不同转归组的老年IGR者应对方式的差异无显著性(P>0.05)。结论:在老年IGR者的心理干预中应多关注采用积极应对方式较少、消极应对方式较多的这些人群。

Objective： To explore the coping strategies of the elderly with Impaired Glucose Regulation （IGR）, to compare the differences of coping strategies among the groups of different prognosis and to provide some advice on psychological intervention. Methods： Fasting Plasma Glucose （FPG）and two-hour postprandial Plasma Glucose of OGTr （OGTT2hPG）of 220 old persons with IGR were tested, and they were assessed by TCSQ. Results： 27.73%-78.64% of old people with IGR chose active strategies when facing stress, 4.09%-18.18% of them adopted negative strategies. There were no significant differences of coping strategies among the groups of different prognosis. Conclusion： It was better to pay more attention to those who mainly selected negative strategies in psychological intervention on the elderly with IGR.