2型糖尿病患者自我调节疲劳现状及影响因素

Status quo and influencing factors of self-regulatory fatigue in type 2 diabetes patients

目的 调查分析2型糖尿病患者自我调节疲劳现状及影响因素,为临床实施针对性护理干预提供参考。方法 采用自我调节疲劳量表、低血糖恐惧量表-15、糖尿病心理痛苦量表、糖尿病自我效能感量表对242例糖尿病患者进行调查。结果 2型糖尿病患者自我调节疲劳总分为45.01±6.81,低血糖恐惧总分27.98±4.26,糖尿病心理痛苦总分56.57±10.04,自我效能总分24.84±5.42。多元线性回归分析显示,性别、医疗支付方式、病程、治疗方案、并发症、空腹血糖、低血糖恐惧、糖尿病心理痛苦、自我效能是自我调节疲劳的影响因素(均P<0.05)。结论 2型糖尿病患者自我调节疲劳水平较高,临床护理人员应重视并针对影响因素制定干预措施,以提高患者的自我调节水平,减轻疲劳程度。

Objective To investigate the status quo of self-regulatory fatigue in type 2 diabetes patients,to analyze the influencing factors,and to provide reference for targeted intervention.Methods A total of 242 diabetic patients were surveyed by using the self-regulatory Fatigue Scale,the Fear of Hypoglycemia Scale-15,the Diabetes Distress Scale and the Self-Efficacy for Diabetes.Results The patients scored(45.01±6.81) points in self-regulatory fatigue,(27.98±4.26) points in fear of hypoglycemia,(56.57±10.04) points in diabetes distress,and(24.84±5.42) points in self-efficacy,respectively.Multiple linear regression analysis showed that gender,payment of medical bills,course of disease,treatment plan,disease complications,fasting blood glucose level,fear of hypoglycemia,diabetes distress,and self-efficacy were influencing factors of self-regulatory fatigue(all P<0.05).Conclusion Patients with type 2 diabetes have higher levels of self-regulatory fatigue.Clinical nursing workers should pay attention to the influencing factors and formulate targeted intervention measures,in an effort to improve self-regulation level and reduce fatigue level.