2型糖尿病患者病耻感与抑郁和血糖控制的关系
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女,本科,副主任护师,护士长

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河南省医学科技攻关计划省部共建项目(SB201901086)


Relationship among stigma,depression and glucose control among patients with type 2 diabetes mellitus
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    目的 分析2型糖尿病患者病耻感现状及其与抑郁和血糖控制的关系。方法 对209例2型糖尿病住院患者采用2型糖尿病病耻感评估表、Zung抑郁自评量表(SDS)进行调查,收集患者一般资料和血糖控制指标。结果 2型糖尿病患者病耻感总分为(52.52±10.75)分,其中区别对待、责怪与评判、自我耻辱维度得分分别为(16.29±3.99)、(18.70±3.69)、(17.54±5.12)分。抑郁得分(44.06±9.69)分,其中有抑郁症状66例(31.58%)。不同抑郁状态和血糖水平患者病耻感得分比较,差异有统计学意义(均P<0.01)。2型糖尿病患者FPG、HbA1c水平与抑郁得分呈正相关(均P<0.01 );抑郁得分和血糖值分别与病耻感总分及各维度得分呈正相关(均P<0.01 )。结论 2型糖尿病患者病耻感处于中等偏低水平,其病耻感与抑郁和血糖控制呈正相关。医护人员应多关注2型糖尿病患者病耻感,采取有效措施尤其是做好血糖控制、心理疏导,有助于降低2型糖尿病患者病耻感和抑郁症状。

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    Objective To analyze the relationship among stigma, depression and glucose control among patients with type 2 diabetes mellitus(T2DM). Methods A total of 209 hospitalized patients with T2DM were recruited and fill out the Type 2 Diabetes Stigma Assessment Scale (DSAS-2) and Self-Rating Depression Scale (SDS). Patients′general information and glycemic control indicators were collected. Results The total score of DSAS-2 was (52.52±10.75) points, the score of being treated differently, blame and judgment, and self-stigma averaged (16.29±3.99) points, (18.70±3.69) points, (17.54±5.12) points respectively. The patients scored (44.06±9.69)points in SDS, with 66 patients (31.58%) in presenting depressive symptoms. DSAS-2 scores varied significantly by whether presenting depressive symptoms or not, and normal vs. abnormal glucose levels(P<0.01 for both). Patients′ fasting plasma glucose and HbA1c levels were positively correlated with SDS scores(P<0.01 for both).SDS scores were positively correlated with DSAS-2 total and dimension scores, likewise glucose levels with DSAS-2 total and dimension scores(P<0.01 for all). Conclusion The stigma of T2DM patients was at a low to medium level. There was a positive correlation between stigma or depression alone, and glucose levels in patients with T2DM. Medical workers should pay more attention to the stigma level of T2DM patients, and take effective measures as in controlling glucose levels, and psychological guidance, which can be beneficial to reduction of stigma and depression levels in T2DM patients.

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韦伟,张俊梅,王洁,黄文贞,李莉,吕英华.2型糖尿病患者病耻感与抑郁和血糖控制的关系[J].护理学杂志,2020,35(12):75-78

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  • 收稿日期:2020-01-07
  • 最后修改日期:2020-03-20
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  • 在线发布日期: 2022-09-06