糖尿病住院患者应对方式与心理痛苦的相关性研究

Correlations of coping style and diabetes distress in inpatients with newly diagnosed diabetes

目的调查糖尿病新住院患者应对方式与心理痛苦现状,并探讨两者的相关性。方法采取便利抽样的方法,用医学应对方式问卷、中文版糖尿病痛苦量表对100例新住院的糖尿病患者进行问卷调查。结果糖尿病住院患者应对方式评分分别为:面对维度(19.98±3.86)分,回避维度(15.25±3.02)分,屈服维度(7.70±2.76)分;患者的糖尿病心理痛苦总分为(1.88±0.71)分;35%的患者存在中等以上心理痛苦;回避与心理痛苦总分、医生相关痛苦、人际关系相关痛苦、生活规律相关痛苦成正相关(P<0.05),屈服与心理痛苦总分及各维度呈正相关(P<0.01)。结论糖尿病新住院患者普遍存在不同程度的心理痛苦;患者的回避应对和屈服应对水平越高,心理痛苦程度越大。临床医护工作者应以正性的态度增强患者对糖尿病的正确认识,形成积极的应对方式,减少患者的心理痛苦。

Objective To survey the coping style and diabetes distress in inpatients with newly diagnosed diabetes and to examine their correlations. Methods By convenience sampling,one hundred hospitalized patients with newly diagnosed diabetes were surveyed with Chinese version of Medical Coping Modes Questionnaire（MCMQ） and Diabetes Distress Scale （DDS）. Results The scores of MCMQ in inpatients with newly diagnosed diabetes were 19.98±3.86 for confrontation dimension,15.25 ±3.02 for avoidance dimension,and 7.70±2.76 for acceptance dimension. Regarding DDS,the average score of overall diabetes distress was 1.88±0.71. 35% patients displayed moderate or more severe diabetes distress. Higher score of avoidance coping style in MCMQ was correlated with higher score of overall diabetes distress,physician-related distress,interpersonal distress and regimen-related distress in DDS （P〈0.05）. Higher score of surrender coping style in MCMQ was correlated with higher score of overall diabetes distress and all dimensions in DDS （P〈0.01）. Conclusion Diabetes distress was common among in patients with newly diagnosed diabetes. These patients would suffer more from diabetes distress if they adopt a higher level of avoidance and/or acceptance coping style. Care providers should educate such patients properly to promote positive coping styles so as to relieve their diabetes distress.