2型糖尿病患者自尊对病耻感的影响:心理弹性的中介作用

Influence of self-esteem on stigma in patients with type 2 diabetes mellitus:The mediating effect of resilience

目的:探讨自尊对2型糖尿病患者病耻感影响,以及心理弹性的中介作用。方法:采用一般资料调查表、Rosenberg自尊量表(SES)、心理弹性量表(CD-RISC)、2型糖尿病病耻感评估表(DSAS-2)对195例2型糖尿病患者进行调查。结果:自尊与病耻感呈负相关(r=-0.447,P<0.01)、自尊与心理弹性呈正相关(r=0.251,P<0.01)、心理弹性与病耻感呈负相关(r=-0.374,P<0.01)。中介效应模型分析表明,2型糖尿病患者自尊和心理弹性对病耻感具有直接效应(β=-0.42,-0.33),自尊通过心理弹性对病耻感的间接效应为-0.08。结论:对于2型糖尿病患者,自尊通过提高心理弹性进而影响患者病耻感,较高的自尊和心理弹性有利于降低患者的病耻感。

Objective:To explore the influence of self-esteem on stigma in patients with type 2 diabetic patients and the mediating role of resilience.Methods:A total of 195 type 2 diabetic patients were investigated by using General information questionnaire, Rosenberg Self-Esteem Scale(SES),Connor-Davidson Resilience Scale(CD-RISC)and Type 2 Diabetes Stigma Assessment Scale(DSAS-2).Results:Correlation analysis showed that self-esteem was negatively correlated with stigma(r=-0.447,P<0.01).Self-esteem was positively correlated with resilience(r=0.251,P<0.01).Resilience was negatively correlated with stigma(r=-0.374,P<0.01).The mediating effect model showed that the self-esteem and resilience of type 2 diabetic patients had a direct effect on stigma(β=-0.42,-0.33).The indirect effect of self-esteem on stigma by resilience was-0.08.Conclusion:For patients with type 2 diabetes, self-esteem can affect the stigma of patients by improving their resilience.Higher self-esteem and resilience can reduce the stigma of patients with type 2 diabetes.