老年糖尿病患者糖尿病痛苦与社会支持现状及其相关性

The correlated research on diabetes distress and social support of elderly patients with diabetes mellitus

目的探讨老年糖尿病患者糖尿病痛苦与社会支持水平现状及其相关性。方法 2017年11月,采用一般资料调查表、糖尿病痛苦量表(diabetes distress scale,DDS)及社会支持评定量表(social support rating scale,SSRS),对广州市某两家三级甲等综合医院内分泌科住院的95例老年糖尿病患者进行糖尿病痛苦与社会支持现状调查,并分析其两者的相关性。结果患者糖尿病痛苦总分为(32.7±11.5)分,处于轻度痛苦水平,其中中重度糖尿病痛苦占31.6%(30/95),各维度中以"生活规律相关痛苦"和"情感相关痛苦"最为突出;社会支持及各维度得分均低于国内常模(均P<0.05);社会支持与糖尿病痛苦总分及就医相关痛苦维度、生活规律相关痛苦维度、人际关系相关痛苦维度均呈负相关关系(均P<0.05)。结论老年糖尿病患者存在不同程度的糖尿病痛苦,且社会支持水平整体偏低,而且糖尿病痛苦与社会支持呈负相关。临床上应加强对老年糖尿病患者糖尿病痛苦及社会支持的评估,并采取个体化干预措施提高其社会支持水平,从而降低患者糖尿病痛苦程度,改善其生活质量。

Objective To investigate the correlation between diabetes distress and social support of elderly patients with diabetes mellitus. Methods Three instruments,including the general information questionnaire,the diabetes distress scale（DDS） and the social support rating scale（SSRS） were used to investigate the correlation between diabetes distress and social support of 95 elderly patients with diabetes mellitus from the endocrinology department of two tertiary level first-class comprehensive hospitals from at Novenber 2017. Results The total scores of diabetes distress are（32.7±11.5）,at the level of mild distress. The proportion of moderate/severe level is 31.6%（30/95）.The diamensions of ＂routine life distress＂ and ＂emotional distress＂ are most prominent;Social support overall and all diamension scores are lower than the model（all P〈 0.05）;There is a significantly negative correlation between social support and diabetes distress overall,physical distress, routine life distress and interpersonal distress（all P 0.05）. Conclusions The elderly patients with diabetes mellitus have different levels of diabetes distress and low level of social support.There is a negative correlation between diabetes distress and social support.We should strengthen the evaluation of diabetes distress and social support of the elderly patients with diabetes mellitus in clinical work,and take individualized interventions to improve the level of social support,in order to decrease diabetes distress and improve the quality of life.