新诊断糖尿病住院患者糖尿病痛苦现状及影响因素研究

The level and factors associated with diabetes distress in patients with newly diagnosed diabetes

目的调查新诊断糖尿病住院患者(新诊断患者)的糖尿病痛苦现状,探讨其影响因素,为开展针对性干预提供参考。方法采用领悟社会支持量表、医学应对方式问卷、中文版糖尿病痛苦量表对100例新诊断患者进行问卷调查。结果新诊断患者的糖尿病痛苦总分1.88±0.71;35.0%存在糖尿病痛苦;糖尿病痛苦总分及各维度得分与领悟社会支持总分及各维度呈负相关,与屈服、回避因子呈正相关(P<0.05,P<0.01);屈服应对方式、领悟社会支持和住院时间是患者糖尿病痛苦的影响因素(调整R2=0.414)。结论新诊断患者糖尿病痛苦发生率高,受屈服应对方式、领悟社会支持及住院时间的影响,医护人员应及时评估和引导患者积极应对,以减少其糖尿病痛苦。

Objective To investigate the level and factors associated with diabetes distress in patients with newly diagnosed diabetes,and to provide references for targeted interventions.Methods One hundred patients with newly diagnosed diabetes were invited to complete the Perceived Social Support Scale（PSSS）,Medical Coping Modes Questionnaire（MCMQ）and Chinese version of Diabetes Distress Scale（DDS）.Results The DDS score was 1.88±0.71 and 35.0% of patients had diabetes distress.The total DDS score and subscale scores were negatively correlated with the total PSSS and subscale scores,whereas positivery correlated with subscale scores of resignation and avoidance in MCMQ（P〈0.05,P〈0.01）.Resignation,perceived social support and hospital stat length were influencing factors of diabetes distress（Adjusted R2=0.414）.Conclusion The prevalence of diabetes distress in patients with newly diagnosed diabetes is high,and is affected by resignation coping mode,perceived social support and hospital stay length.Healthcare workers should provide timely assessment for patients and guide them to cope with disease positively,thus to relieve their diabetes distress.