胰岛素治疗患者焦虑状况及相关因素的调查分析

Investigation and Analysis of the Anxiety Situation and Related Factors of Patients with Insulin Treatment

目的调查分析2型糖尿病胰岛素治疗患者焦虑状况及其影响因素。方法采用一般情况调查表和Zung's焦虑自评量表(SAS)对86例接受胰岛素治疗的2型糖尿病患者进行问卷调查。结果45例(52.3%)出现焦虑症状,其中轻度30.2%,中度12.8%,重度9.3%。患者的年龄及文化程度与焦虑情绪呈正相关(P<0.05);患者对胰岛素的认知程度,注射胰岛素的熟练程度及社会家庭支持满意度与焦虑情绪呈负相关(P<0.01,P<0.05)。结论对2型糖尿病胰岛素治疗患者加强健康教育、心理护理、胰岛素注射方法指导及提高社会家庭支持满意度,能有效减轻患者的焦虑情绪,有利于提高患者的遵医行为及对胰岛素治疗的依从性。

Objective To investigate the anxiety situation of type 2 diabetic patients with insulin therapy and analyze the influencing factors.Methods Investigate 86 cases of type 2 diabetic patients with insulin therapy using questionnaire and the Zung＇s Self-rating Anxiety Scale（SAS）.Results 45（52.3%） cases of patients were found accompanying anxiety symptoms,including mild 30.2%,moderate 12.8%,severe 9.3%.The pearson correlation coefficient analysis found that age and educational level was positively correlated with anxiety（P〈0.05） and the patients awareness level of insulin,insulin level of proficiency and social satisfaction,family support was negatively correlated with anxiety（P〈0.01,P〈0.05）.Conclusion For the type 2 diabetic patients with insulin therapy,strengthen health education,psychological care,insulin injection methods and enhance the community satisfaction with family support can effectively reduce their anxiety and improve the compliance behavior and medical adherence to insulin therapy.