糖尿病患者经验性回避、接纳与心理痛苦的关系研究

A correlation study among experiential avoidance, acceptance and psychological distress of diabetic patients

目的 探讨糖尿病患者经验性回避、接纳与心理痛苦之间的关系,为减少糖尿病患者经验性回避,促进患者接纳糖尿病,减轻其心理痛苦提供依据.方法 采用方便抽样的方法,应用一般资料调查表、接纳与行动问卷第2 版、糖尿病接纳量表修订版、糖尿病痛苦量表对218例2型糖尿病患者进行调查.结果 糖尿病患者经验性回避得分（15.94±8.188）分,接纳得分（68.27±7.669）分,心理痛苦得分（35.72±16.560）分,糖尿病患者经验性回避与心理痛苦呈正相关（r=0.414,P〈0.01）,接纳与心理痛苦呈负相关（r=-0.355,P〈0.01）.结论 糖尿病患者接纳与心理痛苦均处于中等水平,糖尿病患者经验性回避有待改善.医务人员可通过减少患者的经验性回避,促进患者更好地接纳糖尿病,降低心理痛苦.

Objective To investigate the relationship among experiential avoidance, acceptance and psychological distress of diabetic patients and provide basis for reducing the experiential avoidance, promoting patients to accept the diabetes and decreasing their psychological distress. Methods A total of 218 patients with type 2 diabetes were investigated using the general information questionnaire, Acceptance and Action Questionnaire-2nd Edition, Ideas about Diabetes-Revised and Diabetes Distress Scale. Results The score of experiential avoidance for diabetes patients was （15.94±8.188） points; the score of acceptance of diabetic patients was （68.27±7.669） points; the score of psychological distress was （35.72±16.560） points. The experiential avoidance was positively correlated with psychological distress of diabetes （r=0.414, P〈 0.01）. The acceptance was negatively correlated with psychological distress of diabetic patients （r=-0.355, P〈0.01）. Conclusions The acceptance and psychological distress of diabetic patients are at a moderate level, and the experiential avoidance of diabetic patients needs to be improved. Medical personnel should reduce experiential avoidance to improve the acceptance of diabetes patients and reduce their psychological distress.