糖尿病胰岛素治疗病人低血糖恐惧及其应对方式的相关性研究

摘要

[目的]探讨糖尿病胰岛素治疗病人低血糖恐惧与应对方式之间的关系.[方法]采用中文版低血糖恐惧感调查量表 (CHFS-WS) 、医学应对方式问卷 (MCMQ) 对122例糖尿病胰岛素治疗病人进行问卷调查.[结果]糖尿病胰岛素治疗病人低血糖恐惧感评分中位数为10.5分 (四分位间距4～19分), 医学应对方式分值分别为面对维度 (18.03±4.79) 分、回避维度 (16.08±2.89) 分、屈服维度 (11.18±2.57) 分;低血糖恐惧感评分与应对方式总分及屈服维度得分呈正相关.[结论]糖尿病胰岛素治疗病人低血糖恐惧与病人的消极应对方式密切相关, 应注重糖尿病胰岛素治疗病人低血糖恐惧的评估和管理, 帮助病人采取更积极的应对方式, 实现血糖的有效管理.%Objective:The purpose of this study was to investigate the relationship between hypoglycemia fear and coping mode in diabetic patients underwent insulin therapy.Methods:One hundred and twenty-two patients with diabetes mellitus underwent insulin therapy were investigated by Chinese version of Hypoglycemia Fear Survey-Worry Scale (CHFS-WS) and Medical Coping Mode Questionnaire (MCMQ) .Results:The median score of CHFS-WS was 10.5 (interquartile range 4 to 19) in patients with diabetes mellitus underwent insulin therapy.The scores of MCMQ were (18.03±4.79) in face dimension, (16.08±2.89) in avoidance dimension, and (11.18±2.57) in yield dimension, respectively.The hypoglycemia fear score is positively correlated with the total coping mode score and the yield dimension score.Conclusion:The fear of hypoglycemia in patients with diabetes mellitus underwent insulin therapy is closely related to the patient′s negative coping mode.It should pay attention to the evaluation and management of hypoglycemia fear in patients with diabetes mellitus underwent insulin therapy, and help patients adopt a more active coping style to achieve effective management of blood glucose.