青少年1型糖尿病患者病耻感与血糖控制情况的相关分析

Correlation between stigma and glucose control among adolescents with type 1 diabetes mellitus

目的 分析青少年1型糖尿病(T1DM)患者病耻感与血糖控制情况的相关性.方法 2014年6月—2016年6月选取河南省南阳市中心医院内分泌科收治的75例T1DM青少年患者作为研究对象,收集其一般资料和实验室指标.采用Link病耻感系列量表调查患者的病耻感情况,通过Pearson相关分析T1DM青少年病耻感与血糖控制情况的相关性.结果 T1DM青少年病耻感各分量表条目均分均高于量表总分中位数2.50分;Pearson相关分析显示,患者贬低-歧视感知、病耻感情感体验与空腹血糖(FPG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)水平呈正相关(P＜0.05),病耻感应对与FPG、2 hPG、HbA1c呈负相关(P＜0.05).结论 T1DM青少年患者病耻感与血糖控制情况相关,应给予患者更多的心理关怀,降低患者病耻感,改善患者血糖控制情况.

Objective To explore the correlation between stigma and glucose control among adolescents with type 1 diabetes mellitus (T1DM). Methods From June 2014 to June 2016, we selected 75 adolescent patients with T1DM as subjects in Endocrinology Department of Nanyang City Center Hospital of He'nan Province and collected their general information and laboratory indexes. The Link Stigma Series Scale was used to investigate the situation of patients' stigma. Pearson correlation was used to analyze the correlation between stigma and glucose control of adolescents with T1DM. Results The average score of terms of Stigma Series Scale of adolescents with T1DM was higher than the midpoint (2.50) of scale. Pearson correlation analysis showed that the sense of disparagement-discrimination, emotional experience of stigma had positive correlations with fasting plasma glucose (FPG), 2-hour postprandial blood glucose (2hPG) and HbA1c (P＜0.05), besides stigma had negative correlations with FPG, 2hPG and HbA1c (P＜ 0.05). Conclusions The stigma of adolescents with T1DM is correlated with glucose control. We should provide psychological care for patients so as to reduce their stigma and improve glucose control.