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| 2型糖尿病患者自我感受负担自我管理水平及应对方式的调查分析 |
| Investigation and analysis of self perceived burden, self-management level and coping style in patients in type 2 diabetes mellitus |
| 投稿时间：2018-03-07 |
| DOI：10.3969/j.issn.1000-0399.2018.08.031 |
| 中文关键词: 2型糖尿病 自我感受负担 自我管理 应对方式 |
| 英文关键词: Diabetes,type 2 Self-perceived burden Self-management Coping style |
| 基金项目:安徽省科技重大专项（17030901017）安徽医科大学临床科学研究项目（2015xkj133） |
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| 中文摘要: |
| 目的 了解2型糖尿病患者自我感受负担、自我管理水平及应对方式的现状，探讨自我感受负担与自我管理水平、应对方式的相关性。方法 采用横断面调查法，选取2016年5月至2017年5月在安徽医科大学第四附属医院住院的169例确诊为2型糖尿病的患者为研究对象，发放一般资料调查表、患者自我感受负担量表、糖尿病自我管理行为量表、医学应对方式问卷对患者自我感受负担、自我管理水平等进行调查，采用Pearson相关分析法分析2型糖尿病患者自我感受负担与自我管理水平、应对方式的相关性。结果 94.67%的患者存在不同程度的自我感受负担，自我感受负担得分为（30.54±5.84）分；2型糖尿病患者自我管理的6个维度得分最高的为普通饮食（8.83±1.25）分，最低的为药物（4.05±0.95）分；在疾病治疗期间，患者采取的3种应对方式中得分最高的为面对（17.40±2.66）分，得分最低的为屈服（11.51±1.54）分；2型糖尿病患者自我感受负担得分与回避、屈服方式得分呈正相关关系（r=0.313，0.493，P<0.05），与面对方式、自我管理水平得分呈负相关关系（r=-0.231、-0.161，P<0.05）。结论 2型糖尿病患者的自我感受负担处于中度水平，面对是患者在疾病治疗期间采取较多的应对方式，2型糖尿病患者的自我感受负担水平与回避、屈服应对方式正相关，与面对方式、自我管理水平负相关。 |
| 英文摘要: |
| Objective To analyze the status of self-perceived burden, self-management, and coping styles in patients with type 2 diabetes, and to explore the correlation between self perceived burden and self-management level and coping style. Methods A cross-sectional survey was conducted to select 169 patients diagnosed with type 2 diabetes hospitalized in the Fourth Affiliated Hospital of Anhui Medical University from May 2016 to May 2017 as subjects. General data questionnaire, patient self feeling burden scale, diabetes self-management behavior scale, and medical coping style questionnaire were investigated and studied. The correlation between self-management and coping style of type 2 diabetes patients was analyzed by Pearson correlation analysis. Results In this study, 94.7% of the patients had different degrees of self perceived burden, and the score of self perceived burden was (30.54±5.84). The highest score of the 6 dimensions of self-management in type 2 diabetes patients was the general diet (8.83±1.25 points), the lowest was the drug (4.05±0.95 points). Among the three coping styles adopted by the patients during the period of treatment, the highest score was the face (17.40+2.66 points), and the lowest score was the yield (11.51+1.54 points). Conclusion The self-perceived burden of patients with type 2 diabetes is at a moderate level. Face mode is the more coping style taken during the treatment of the disease. Self perceived burden of patients with type 2 diabetes is positively correlated with avoidance and resignation coping style, and is related with face mode and self-management level. |
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