2型糖尿病患者心理痛苦与应对方式状况及其相关性

摘要

目的：探讨2型糖尿病患者心理痛苦与应对方式状况及其相关性。方法采用糖尿病痛苦量表（diabetes distress scale， DDS）、医学应对方式问卷（medical coping modes questionnaire， MCMQ）对100例住院2型糖尿病患者进行问卷调查。了解2型糖尿病患者心理痛苦及应对方式状况，并分析其相关性。结果2型糖尿病患者痛苦量表总分为（2．17±0．71）分，处于轻微程度，有57．00％患者发生糖尿病心理痛苦；应对方式中面对维度及回避维度得分均明显低于常模临床患者，屈服维度得分明显高于常模临床患者，组间比较，差异具有统计学意义（均P＜0．01）；患者糖尿病痛苦量表总分及生活规律相关痛苦、医生相关痛苦子量表得分与面对维度呈负相关（均P＜0．05），糖尿病痛苦量表总分及其4个子量表得分与回避维度、屈服维度呈正相关（均P＜0．05）。结论2型糖尿病患者心理痛苦发生较为普遍，积极应对的程度仍然不足，心理痛苦与面对呈负相关，与屈服及回避呈正相关，医护人员应指导患者采用积极的应对方式，避免采用消极的应对方式，以缓解患者的心理痛苦程度，从而有利于其身心健康。%Objective To investigate the correlation between diabetic distress and coping styles among patients with type 2 diabetes. Method One hundred inpatients with type 2 diabetes were engaged in the investigation of their diabetes distress and coping styles by the diabetes distress scale (DDS) and medical coping modes questionnaire (MCMQ) and the correlation between them. Results The average score of diabetic distress was (2.17 ± 0.71), which was at mild level. 57%of them were at the higher level of diabetic distress. Confrontation and avoidance dimensions were lower than the norm in coping styles, and the acceptance dimension was higher than the norm (all P<0.01). The average scores of diabetic distress, regimen-related distress and physician-related distress subscales were negatively correlated with confrontation (all P<0.05). The average score on diabetic distress and the subscales were positively correlated with avoidance and acceptance dimension (all P<0.01). Conclusions Diabetic distress is prevalent in type 2 diabetic patients and the degree of positive coping is still not insufficient. The diabetic distress is negatively correlated to the confrontation, and positively correlated to the avoidance and the acceptance dimension. The medical staff should instruct the patients to adopt positive coping styles, and avoid negative coping styles to reduce diabetic distress. It will be conductive to the physical and mental rehabilitation of the patients as well.