糖尿病患者的主观幸福感调查及影响因素分析

Subjective well-being and related factors in patients with diabetes

目的研究糖尿病患者的主观幸福感及其影响因素。方法用纽芬兰纪念大学幸福度量表(MUNSH)、社会支持评定量表(SSRS)、生活事件评价问卷、Zung氏焦虑与抑郁自评量表(SAS和SDS)分别对35例门诊糖尿病患者和33例健康对照组的主观幸福感、生活事件评价、社会支持、情绪状态进行评价,并对患者的躯体状况(疾病严重程度、疾病持续时间、有无并发症等)进行评分。结果与正常对照组相比,糖尿病患者的主观幸福感明显降低(对照组为10±8,糖尿病患者为5±6),且患者的主观幸福感与生活事件评价、焦虑抑郁程度呈负相关(相关系数分别为0.25,0.23,0.13);与总社会支持呈正相关(相关系数为0.28)。结论糖尿病患者的主观幸福感与多种因素有关,其中生活事件评价是重要影响因素之一。

Aim To study the subjective well-being and related factors in patien ts with diabetes mellitus (DM). Methods Memorial University of Newfoundland Scale of Happiness (MUNSH), social supporting rating scale (SSRS), life event assessme nt questionnaire, self-rating anxiety scale (SAS) and self-rating depression s cale (SDS) were employed to evaluate the subjective well-being, life event eval uation, social support, emotional state and body condition in 35 outpatients wit h DM, 22 males and 13 females, aged 45-68 years old, and 33 health volunteers, 21 males and 12 females, aged 47-71 years, used as controls. Results Patients w ith DM had a significantly lower score of subjective well-being(5±6),compared with that of the controls (10±8,t=3.13,P< 0.01). The subjective well-being of the DM patients had a negative correlation with life event evaluation and the d egree of anxiety and depression, but had a positive correlation with the total s ocial support. The correlation coefficient was 0.25, 0.23, 0.13 and 0.28 respect ively.Conclusion Subjective well-being is related with several factors, and lif e events evaluation is one of the important factors.