老年糖尿病合并衰弱病人自我感受负担的现状及影响因素分析

Study on the status and the influencing factors of self-perceived burden in the elderly patients with diabetes mellitus and frailty

目的调查老年糖尿病合并衰弱病人自我感受负担的现状,分析其影响因素。方法选择2020年3月至2021年3月在无锡市人民医院内分泌科住院的110例老年糖尿病合并衰弱病人,采用问卷调查法进行调查。调查工具包括中文版Tilburg衰弱量表、自我感受负担量表(SPBS)、领悟社会支持量表(PSSS)、中文版糖尿病自我管理行为量表(SDSCA)等。结果88例老年糖尿病合并衰弱病人存在自我感受负担,占80%,SPBS得分为(30.22±7.00)分。Pearson相关分析显示,SPBS总分、身体负担、情感负担与衰弱呈正相关,与PSSS、SDSCA得分呈负相关(P<0.05)。多重线性回归分析结果显示,医疗支付方式、衰弱程度和领悟社会支持是影响自我感受负担的因素(P<0.05)。结论老年糖尿病合并衰弱病人的自我感受负担处于中度水平,临床医护人员应结合病人的衰弱程度、医疗保障情况及领悟社会支持现状,制订适合的综合干预措施,降低病人的自我感受负担,提高生活质量。

Objective To investigate the status of self-perceived burden in the elderly patients with diabetes mellitus and frailty,and to analyze the influencing factors.Methods A total of 110 elderly patients with diabetes and fraity who were hospitalized in Department of Endocrinology of Wuxi People’s Hospital from March 2020 to March 2021 were enrolled.The patients were surveyed by the general information questionnaire,the Chinese version of Tilburg Frailty Inventory(TFI),Self-Feeling Burden Scale(SPBS),Perceived Social Support Scale(PSSS),and the Chinese version of Diabetes Self-Management Behavior Scale(SDSCA).Results A total of 88 elderly patients with diabetes mellitus and frailty presented with self-perceived burden,accounting for 80%,with an average score of 30.22±7.00.Pearson correlation analysis showed that the total burden,physical burden,emotional burden were positively associated with frailty,and negatively correlated with the scores of PSSS and SDSCA(P<0.05).Multiple linear regression showed that medical payment mode,degree of frailty and perceived social support were the influencing factors of self-perceived burden(P<0.05).Conclusions The self-perceived burden of the elderly patients with diabetes mellitus and frailty is at a moderate level.It is suggested that medical staff should formulate appropriate comprehensive intervention measures based on the degree of frailty,medical security of patients and perceived social support,so as to reduce the self-perceived burden of patients and improve the quality of life.