疾病感知在2型糖尿病患者心理痛苦与健康促进中的中介效应

The mediating eff ect of disease perception in psychological distress and health promotion in patients with type 2 diabetes mellitus

目的 探讨2型糖尿病患者疾病感知在心理痛苦与健康促进之间的中介作用。方法选取2021年11月-2022年5月武汉市某三级甲等医院住院的524例2型糖尿病患者为研究对象,采用一般资料调查表、糖尿病心理痛苦量表(DDS)、疾病感知量表(BIPQ)、糖尿病健康促进量表(T2DHPS)进行问卷调查,分析2型糖尿病患者疾病感知、心理痛苦与健康促进三者的相关性,并分析疾病感知在心理痛苦与健康促进之间的中介效应。结果 2型糖尿病患者疾病感知得分为40.07±15.04分;心理痛苦与疾病感知呈正相关(r=0.240,P<0.05),与健康促进呈负相关(r=-0.371,P<0.05),疾病感知与健康促进呈负相关(r=-0.240,P<0.05);疾病感知水平在心理痛苦与健康促进之间起部分中介作用(β=-0.114,P<0.05),中介效应占总效应(β=-0.305,P<0.05)的37.37%。结论 疾病感知在心理痛苦与健康促进之间起部分中介作用,影响患者的健康促进水平。

Objective To explore the mediating eff ect of disease perception in type 2 diabetes mellitus patients between psychological distress and health promotion.Methods 524 patients with type 2 diabetes mellitus who were hospitalised in a Class III Grade A hospital in Wuhan from November 2021 to May 2022 were selected for the study,the questionnaires were administered by using the General Information Questionnaire(GIQ),Diabetes Psychological Distress Scale(DDS),Disease Perception Inventory(BIPQ),and Diabetes Health Promotion Scale(T2DHPS)to analyse the relationship between disease perception,psychological distress and health promotion in patients with type 2 diabetes mellitus.The correlation between disease perception,psychological distress and health promotion in patients with type 2 diabetes was analysed,and the mediating eff ect of disease perception between psychological distress and health promotion was analysed.Results The disease perception score of type 2 diabetic patients was 40.07±15.04 points;psychological distress was positively correlated with disease perception(r=0.240,P<0.05)and negatively correlated with health promotion(r=-0.371,P<0.05),and disease perception was negatively correlated with health promotion(r=-0.240,P<0.05);the level of disease perception partly mediated the correlation between psychological distress and health promotion partially mediated(β=-0.114,P<0.05),and the mediating eff ect accounted for 37.37%of the total eff ect(β=-0.305,P<0.05).Conclusion Disease perception plays a partial mediating role between psychological distress and health promotion,and aff ects the level of health promotion in patients.