【摘要】：目的研究2型糖尿病患者自我感受負擔的情況,探討影響患者自我感受負擔水平的相關(guān)因素。方法以2014年4月～2014年12月在安徽省某三甲醫(yī)院內(nèi)分泌科住院治療的2型糖尿病患者215例為研究對象,采用一般資料問卷、自我感受負擔量表、焦慮自評量表、自尊量表和領(lǐng)悟社會支持量表調(diào)查患者,以分析2型糖尿病患者自我感受負擔的情況,以及影響因素。正態(tài)分布數(shù)據(jù)采用方差和t檢驗,偏態(tài)分布數(shù)據(jù)采用Pearson相關(guān)分析,采用多元回歸分析,分析與SPB密切相關(guān)的影響因素。結(jié)果(1)2型糖尿病患者自我感受負擔平均(25.59±10.58)分,總體處于中度水平；(2)單因素分析結(jié)果顯示,不同的年齡、居住地、婚姻狀況、職業(yè)、家庭年收入、宗教信仰、醫(yī)療付費類型、糖尿病家族史、并發(fā)癥個數(shù)、低血糖發(fā)作和住院次數(shù)的患者自我感受負擔差異有統(tǒng)計學意義(P0.05)；(3)有焦慮組2型糖尿病患者自我感受負擔明顯高于無焦慮組(P0.01),尊嚴喪失組2型糖尿病患者自我感受負擔明顯高于無喪失組(P0.05),自我感受負擔與社會支持總分呈負相關(guān)(r=-0.292,P0.01)；(4)通過多元逐步回歸分析,2型糖尿病患者自我感受負擔的影響因素為：尊嚴喪失情況,焦慮程度,家庭年收入情況,醫(yī)療付費方式,并發(fā)癥個數(shù)和有無糖尿病家族史。結(jié)論2型糖尿病患者普遍存在自我感受負擔；家庭年收入多少,醫(yī)療付費類型,并發(fā)癥個數(shù)和有無糖尿病家族史等是自我感受負擔的影響因素；自我感受負擔和焦慮及尊嚴喪失程度呈正相關(guān),與社會支持程度呈負相關(guān)。該研究結(jié)果提示我們,臨床護理工作中我們應(yīng)關(guān)注2型糖尿病患者的心理負擔情況,疏導患者的焦慮和負面情緒,評估患者的社會、家庭支持狀況,通過減輕患者的自我感受負擔,提高患者的自信心,可能有利于糖尿病的長期治療。
[Abstract]:Objective to study the self-feeling burden of type 2 diabetes mellitus patients and to explore the related factors of self-feeling burden level. Methods from April 2014 to December 2014, 215 patients with type 2 diabetes mellitus who were hospitalized in the Endocrinology Department of a third Class A Hospital in Anhui Province were investigated by general information questionnaire, self-feeling burden scale and self-rating anxiety scale. Self-esteem scale and perceived social support scale were used to analyze the self-perceived burden of type 2 diabetes mellitus and its influencing factors. The normal distribution data were tested by variance and t test, the skewed distribution data were analyzed by Pearson correlation analysis and multivariate regression analysis, and the factors closely related to SPB were analyzed. Results (1) the average self-feeling burden of type 2 diabetes mellitus patients was 25.59 鹵10.58, which was in a moderate level, (2) the results of univariate analysis showed that the age, place of residence, marital status, occupation, family income, religious belief and medical payment type were different. The family history of diabetes, the number of complications, hypoglycemia and hospitalization times of patients with self-feeling burden differences were statistically significant (P0.05); (3) the self-feeling burden of type 2 diabetic patients with anxiety group was significantly higher than that of non-anxiety group (P0.01), and the self-feeling burden of type 2 diabetic patients with loss of dignity was significantly higher than that of non-loss group (P0.05). There was a negative correlation between the self-feeling burden and the total score of social support (r-0.292, P0.01). (4) by multiple stepwise regression analysis, the influencing factors of self-feeling burden in type 2 diabetes patients were as follows: loss of dignity, degree of anxiety, annual income of family, medical payment method, number of complications and family history of diabetes mellitus. Conclusion Self-feeling burden is common in patients with type 2 diabetes mellitus, the family income, the type of medical payment, the number of complications and the family history of diabetes mellitus are the influencing factors of self-feeling burden. There was a positive correlation between self-perceived burden and anxiety and loss of dignity, but a negative correlation between self-perceived burden and social support. The results of this study suggest that we should pay attention to the psychological burden of patients with type 2 diabetes mellitus in clinical nursing work, relieve the anxiety and negative emotions of the patients, and evaluate the social and family support of the patients. Reducing the burden of self-feeling and increasing self-confidence may be beneficial to the long-term treatment of diabetes mellitus.
【學位授予單位】：安徽醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R473.5

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