老年糖尿病前期人群疾病不确定感与应对方式的关系

Relationship between uncertainty in illness and coping style in elderly prediabetes

目的：调查老年糖尿病前期人群疾病不确定感和应对方式状况,并探讨两者之间的关系。方法：选取243例老年糖尿病前期患者,应用疾病不确定感量表和医学应对方式量表对其进行问卷调查。结果：老年糖尿病前期人群中,60~岁组疾病不确定感得分为（102.21±7.86）,65~岁组疾病不确定感得分为（96.58±6.84）,75~83岁组疾病不确定感得分为（95.79±14.61）,3组老年糖尿病前期人群疾病不确定感均为中等水平;面对应对方式得分为（19.66±5.81）,回避应对方式得分为（14.69±3.26）,屈服应对方式得分为（8.69±3.89）;面对应对方式与疾病不确定感复杂性呈负相关,屈服应对方式与疾病不确定感不明确性、不可预测性和总分呈正相关（r=-0.006、0.200、0.206和0.126,P均〈0.05）。结论：医护人员应对老年糖尿病前期人群的疾病不确定感进行评估并给予个体化干预,以期降低疾病不确定感,提高应对方式。

Aim： To investigate the state of uncertainty in illness of the elderly prediabetes and their coping style,and to discuss the relationship between them. Methods： A total of 243 cases of elderly prediabetes were selected and were investigated by using uncertainty in illness scale and coping style questionnaire. Results： In the cases selected from the elderly prediabetes,the uncertainty in illness of the 60- years old patients were scored as（ 102. 21 ± 7. 86）,the 65- years old patients were scored as（ 96. 58 ± 6. 84）,and 75- 83 years old patients were scored as（ 95. 79 ± 14. 61）; the levels of uncertainty in illness of the three age groups turned out to be medium. The facing coping style were scored as（ 19. 66 ± 5. 81）,the avoidance coping style were scored as（ 14. 69 ± 3. 26）,and the surrender coping style were scored as（ 8. 69 ± 3. 89）. The facing coping style was negatively related to the complexity of uncertainty observably,whereas the surrender coping style had been found positively related to the ambiguity of uncertainty,the unpredictability of uncertainty,and uncertainty score（ r =- 0. 006,0. 200,0. 206,0. 126,P〈0. 05）. Conclusion： In order to reduce uncertainty in illness and improve coping style,medical staff should evaluate the uncertainty of the elderly prediabetes and conduct nursing intervention accordingly.