2型糖尿病患者病耻感与自我同情、社会支持的相关性研究

Correlation among stigma,self-compassion and social support in patients with type 2 diabetes

目的探讨2型糖尿病患者病耻感与自我同情、社会支持的相关性,并分析自我同情在两者之间的中介作用,旨在为降低糖尿病患者病耻感提供一定的理论依据。方法采用便利抽样法,于2022年7月--2023年2月选取广东省第二中医院内分泌科住院的176例2型糖尿病患者为研究对象,采用一般资料调查表、2型糖尿病病耻感评估量表、领悟社会支持量表及自我同情量表对其进行调查。通过Pearson相关分析对变量间的相关性进行分析,采用Bootstrap法进行中介效应检验。结果2型糖尿病患者社会支持总分为(54.64±12.63)分,自我同情总分为(89.36±12.81)分,病耻感总分为(45.15±9.73)分。相关性分析结果表明,社会支持与病耻感呈负相关(r=-0.539,P<0.01),与自我同情呈正相关(r=0.434,P<0.01);自我同情与病耻感呈负相关(r=-0.583,P<0.01)。中介效应分析表明,自我同情在2型糖尿病患者社会支持与病耻感间起中介作用,中介效应值为-0.113,中介效应占总效应的32.66%。结论2型糖尿病患者病耻感处于中等偏下水平,社会支持、自我同情负向预测病耻感,且自我同情在2型糖尿病患者社会支持与病耻感间起中介作用。

Objective To explore the correlation among stigma,self-compassion and social support in patients with type 2 diabetes,and analyze the mediating role of self-compassion between the two,so as to provide theoretical basis for reducing stigma in patients with diabetes.Methods From July 2022 to February 2023,176 inpatients with type 2 diabetes in the Department of Endocrinology of the Guangdong Second Chinese Medicine Hospital were selected by convenience sampling.The patients were investigated with the General Information Questionnaire,Type 2 Diabetes Stigma Assessment Scale,Perceived Social Support Scale and Self-Compassion Scale.Pearson correlation was used to analyze the correlation between variables,and the Bootstrap method was used to test the mediating effect.Results The total scores of social support,self-compassion and stigma in patients with type 2 diabetes were(54.64±12.63),(89.36±12.81)and(45.15±9.73)respectively.Correlation analysis showed that social support was negatively correlated with stigma(r=-0.539,P<0.01),and positively correlated with self-compassion(r=0.434,P<0.01),and there was a negative correlation between self-compassion and stigma(r=-0.583,P<0.01),and the differences were statistically significant.The mediating effect analysis indicated that self-compassion played a mediating role between social support and stigma in patients with type 2 diabetes.The mediating effect value was-0.113,accounting for 32.66%of the total effect.ConclusionsThe stigma in patients with type 2 diabetes is at the lower middle level.Social support and self-compassion negatively predict stigma,and self-compassion plays a mediating role between social support and stigma in type 2 diabetes patients.