2型糖尿病病人饮食社会支持和糖尿病痛苦相关性研究

Study on the correlation between dietary social support and diabetes distress in patients with type 2 diabetes mellitus

目的:探讨蚌埠市某社区2型糖尿病病人饮食社会支持及糖尿病痛苦现状及两者间的相关性。方法:采取整群抽样的方法,对蚌埠市某社区的298例糖尿病病人的饮食社会支持和糖尿病痛苦现状展开问卷调查。结果:2型糖尿病病人饮食社会支持得分为(3.28±0.72)分,糖尿病痛苦总分为(34.29±12.14)分,饮食社会支持及其各维度得分均与糖尿病痛苦总分呈负相关关系(r=-0.152~-0.221,P<0.05~P<0.01)。多元线性逐步回归分析结果显示,病程及自我调整是2型糖尿病病人糖尿病痛苦的影响因素(b=-1.427、-0.678,P<0.05)。结论:2型糖尿病病人饮食社会支持和糖尿病痛苦均处于中等水平,二者呈弱负相关关系,病程及自我调整是糖尿病痛苦的独立影响因素,应制定有针对性的饮食干预措施促进病人饮食自我管理能力的提高,减轻病人的糖尿病痛苦水平。

Objective:To explore the status quo of dietary social support and diabetes distress of patients with type 2 diabetes mellitus in a community of Bengbu,and correlation between them.Methods:Using the cluster sampling method,the dietary social support and diabetes distress of 298 diabetic patients in a community in Bengbu were investigated by questionnaires.Results:The score of dietary social support was(3.28±0.72)points,and the total score of diabetic distress was(34.29±12.14)points in diabetic patients.The scores of dietary social support and its various dimensions were negatively correlated with the total score of diabetic distress(r=-0.152 to-0.221,P<0.05 to P<0.01).The results of multiple linear stepwise regression analysis showed that the course of disease and self-adjustment were the influencing factors of diabetic distress in type 2 diabet patients(b=-1.427,-0.678,P<0.05).Conclusions:Dietary social support and diabetes distress in mellitus patients with type 2 diabetes mellitus are both at a moderate level,and the two are weakly negatively correlated.The course of the disease and self-adjustment are the independent influencing factors of diabetes distress.Targeted dietary intervention measures should be developed to improve patients′dietary self-management ability,and reduce the level of diabetes distress of patients.