CAJ | 학술논문

目的：探讨2型糖尿病患者焦虑、抑郁与疾病认知、应对方式之间的关系。方法：采用医院焦虑抑郁量表、疾病认知量表及医学应对问卷对158例2型糖尿病患者进行问卷调查。结果：焦虑和抑郁发生率为38．0％和27．8％；疾病认知量表得分最高维度为疾病病程，最低维度为治疗控制；与常模相比，患者多采用回避、屈服的应对方式；焦虑、抑郁与疾病认知多个维度和应对方式相关；疾病相关性、情绪表征、面对、屈服是焦虑的影响因素，治疗控制和屈服是抑郁的影响因素。结论：医护人员应重视患者疾病认知，引导患者采取积极应对方式，以减少焦虑、抑郁等负性情绪对健康的不利影响。
목적：탐토2형당뇨병환자초필、억욱여질병인지、응대방식지간적관계。방법：채용의원초필억욱량표、질병인지량표급의학응대문권대158례2형당뇨병환자진행문권조사。결과：초필화억욱발생솔위38．0％화27．8％；질병인지량표득분최고유도위질병병정，최저유도위치료공제；여상모상비，환자다채용회피、굴복적응대방식；초필、억욱여질병인지다개유도화응대방식상관；질병상관성、정서표정、면대、굴복시초필적영향인소，치료공제화굴복시억욱적영향인소。결론：의호인원응중시환자질병인지，인도환자채취적겁응대방식，이감소초필、억욱등부성정서대건강적불리영향。
Objective:To study the relationship between anxiety ,depression and cognition ,coping style in patients with type 2 diabetes . Methods:The anxiety and depression scale ,perception scale of disease and medical coping mode questionnaire ( MCMQ) were used to con-duct a questionnaire survey on 158 patients with type 2 diabetes.Results:The incidence of anxiety and depression were 38%and 27.8%;the score of perception scale of disease from high to low was the course of disease and the medication control ;compared with the norm ,the coping styles the patients usually took were avoidance and yielding;anxiety and depression were correlated with multiple dimensions of per-ception of the disease and coping style;the correlation of the disease ,emotional representation ,confrontation and yielding were the factors to influence anxiety;medication control and yielding were the influential factors of depression .Conclusion:The medical staff should pay more attention to patient's perception of the disease and give them guidance on taking positive coping style so as to reduce negtive and unhealthy emotion.