广州市农民2型糖尿病患者痛苦现状及影响因素

摘要

Objective To explore the status and influencing factors of diabetes distress of type 2 diabetes mellitus (T2DM) patients, so as to provide references for the disease management of diabetes patients.Methods Carried on a face-to-face questionnaire survey on 216 farmers in patients with T2DM in Panyu district, Guangzhou City with the Chinese version of the diabetes distress scale evaluation method.Analyzed the results with SPSS statistical software.Results The incidence of diabetes distress was 76.39％.Female, age ＞60 years old, unmarried or widowed, primary school or below educational level, else medical costs expenditure patterns, course ＞5 years, without family history, chronic disease, high complicance were positively related to diabetes distress (P＜0.05).Multiple linear regression analysis revealed that course was positively related to diabetes distress (OR=2.152, 95％CI: 1.028-4.504).Conclusions Diabetes distress is prevalent in T2DM patients.The targeted health intervention mechanism should be established to reduce its effect on T2DM patients.%目的 了解广州市番禺区户籍农民2型糖尿病(Type 2 Diabetes Mellitus,T2DM)患者的心理痛苦现状,为制定针对农民糖尿病患者的综合干预模式、改善其心理状况提供依据.方法 采用中文版糖尿病痛苦量表评价方法,在广州市番禺区对216例农民T2DM患者进行面对面问卷调查,采用SPSS统计软件进行统计学析.结果 本次调查的216例农民T2DM患者中,有糖尿病痛苦者占76.39％.在糖尿病痛苦发生率方面,女性、年龄＞ 60岁、未婚独居或丧偶、小学及以下文化程度、医疗费用支出方式为其他、病程＞5年、无家族史、有其他慢性病和能长期坚持对自身糖尿病的管理者均相对较高,差异均有统计学意义(P＜0.05).Logistic回归分析结果表明,病程(OR=2.152,95％CI: 1.028-4.504)与糖尿病痛苦呈正相关.结论 T2DM患者普遍存在心理痛苦,应建立具针对性的健康干预机制以降低糖尿病痛苦对T2DM患者的影响.