社区糖尿病患者心理痛苦与应对方式的相关性研究

A correlation study of emotional stress and coping interventions in diabetic patients in community settings

目的 :调查糖尿病患者的心理痛苦状况及其与应对方式的相关性。方法 :运用一般资料调查表、糖尿病痛苦量表(DDS)与医学应对方式问卷(MCMQ)对扬州市3个社区共200名糖尿病患者进行问卷调查。结果 :60.0%的糖尿病患者存在糖尿病痛苦,其中,重度痛苦的患者占11.5%。在糖尿病痛苦各维度得分中,生活规律相关痛苦得分最高(3.10±1.17)。应对方式得分由高至低分别是屈服、回避和面对。其中,面对因子与糖尿病痛苦水平呈负相关(P<0.05),屈服因子、回避因子与糖尿病痛苦水平呈正相关(P<0.05)。结论 :糖尿病患者普遍存在心理痛苦,且与应对方式密切相关,临床及社区的护理人员应注重评估患者的心理痛苦状况及应对方式,加强患者的心理护理,鼓励患者采用积极的应对方式面对疾病,提高患者的生活质量。

Objective： To analysis the correlation of emotional stress and coping interventions in diabetic patients in community settings. Methods： The Individual Information Sheet, Diabetes Distress Scale and Medical Coping Modes Questionnaire were used to collect data. Totally 200 patients from 3 different communities in Yangzhou were included in this study. Results： 60.0% of diabetic patients suffer from emotional stress, 11.5% suffer with high level of stress, with higher scores in dimensions of regimen-related distress（3.10±1.17）. Coping styles scores from high to low were acceptanceresignation, avoidance and confrontation. Emotional stress was negatively correlated to confrontation（P〈0.05）, and positively correlated with avoidance and acceptance-resignation（P〈0.05）. Conclusion： Emotional stress was common in diabetic patients, and is closely related to coping styles. Diabetic stress and coping styles should be evaluated in community settings by clinicians in order to strengthen psychological interventions to diabetic patients and ultimatley improve patients＇ quality of life.