国际内分泌代谢杂志
國際內分泌代謝雜誌
국제내분비대사잡지
INTERNATIONAL JOURNAL OF ENDOCRINOLOGY AND METABOLISM
2014年
3期
162-164,168
,共4页
刘媛%徐书杭%陈国芳%陈尚志%袁晓丹%刘克冕%刘超
劉媛%徐書杭%陳國芳%陳尚誌%袁曉丹%劉剋冕%劉超
류원%서서항%진국방%진상지%원효단%류극면%류초
2型糖尿病%心理健康%应对方式
2型糖尿病%心理健康%應對方式
2형당뇨병%심리건강%응대방식
Type 2 diabetes mellitus%Mental health%Coping style
目的 调查2型糖尿病患者的心理健康状况,总结应对方式类型特点,分析心理健康状况与应对方式的关系.方法 本研究共纳入167例2型糖尿病患者,其中,男性94例,女性73例,年龄22～80岁[(57.93±13.02)岁].使用症状自评量表(SCL90)进行心理健康状况评分.另外,使用应对方式量表(CSQ)评估2型糖尿病患者应对方式.同时收集患者年龄、性别、病程、并发症情况、糖化血红蛋白(HbA1c)以及治疗方式等资料.计算存在心理健康问题患者的阳性率,分析2型糖尿病患者心理健康相关因素,以及心理健康与应对方式之间的关系.结果 有32.3％的2型糖尿病患者存在不同类型的心理健康问题,其中,躯体化障碍、强迫症状和人际关系敏感患病率较高(16.8％,15.6％,15.6％,x2=38.8,P＜0.01).相对于无心理健康问题组来说,有心理健康问题组患者在不成熟的应对方式上的得分较高,如自责[(4.50±3.00)vs.(2.48±2.18),P＜0.01]、退避[(5.63±2.40)vs.(4.88±2.09),P＜0.01]以及合理化[(5.83±2.40)vs.(4.88±2.09),P＜0.01].结论 2型糖尿病患者易出现心理健康问题,与此类患者不成熟的应对方式有关,临床工作者应重视2型糖尿病患者心理问题的早期筛查和干预.
目的 調查2型糖尿病患者的心理健康狀況,總結應對方式類型特點,分析心理健康狀況與應對方式的關繫.方法 本研究共納入167例2型糖尿病患者,其中,男性94例,女性73例,年齡22～80歲[(57.93±13.02)歲].使用癥狀自評量錶(SCL90)進行心理健康狀況評分.另外,使用應對方式量錶(CSQ)評估2型糖尿病患者應對方式.同時收集患者年齡、性彆、病程、併髮癥情況、糖化血紅蛋白(HbA1c)以及治療方式等資料.計算存在心理健康問題患者的暘性率,分析2型糖尿病患者心理健康相關因素,以及心理健康與應對方式之間的關繫.結果 有32.3％的2型糖尿病患者存在不同類型的心理健康問題,其中,軀體化障礙、彊迫癥狀和人際關繫敏感患病率較高(16.8％,15.6％,15.6％,x2=38.8,P＜0.01).相對于無心理健康問題組來說,有心理健康問題組患者在不成熟的應對方式上的得分較高,如自責[(4.50±3.00)vs.(2.48±2.18),P＜0.01]、退避[(5.63±2.40)vs.(4.88±2.09),P＜0.01]以及閤理化[(5.83±2.40)vs.(4.88±2.09),P＜0.01].結論 2型糖尿病患者易齣現心理健康問題,與此類患者不成熟的應對方式有關,臨床工作者應重視2型糖尿病患者心理問題的早期篩查和榦預.
목적 조사2형당뇨병환자적심리건강상황,총결응대방식류형특점,분석심리건강상황여응대방식적관계.방법 본연구공납입167례2형당뇨병환자,기중,남성94례,녀성73례,년령22～80세[(57.93±13.02)세].사용증상자평량표(SCL90)진행심리건강상황평분.령외,사용응대방식량표(CSQ)평고2형당뇨병환자응대방식.동시수집환자년령、성별、병정、병발증정황、당화혈홍단백(HbA1c)이급치료방식등자료.계산존재심리건강문제환자적양성솔,분석2형당뇨병환자심리건강상관인소,이급심리건강여응대방식지간적관계.결과 유32.3％적2형당뇨병환자존재불동류형적심리건강문제,기중,구체화장애、강박증상화인제관계민감환병솔교고(16.8％,15.6％,15.6％,x2=38.8,P＜0.01).상대우무심리건강문제조래설,유심리건강문제조환자재불성숙적응대방식상적득분교고,여자책[(4.50±3.00)vs.(2.48±2.18),P＜0.01]、퇴피[(5.63±2.40)vs.(4.88±2.09),P＜0.01]이급합이화[(5.83±2.40)vs.(4.88±2.09),P＜0.01].결론 2형당뇨병환자역출현심리건강문제,여차류환자불성숙적응대방식유관,림상공작자응중시2형당뇨병환자심리문제적조기사사화간예.
Objective To investigate the mental health and coping styles in patients with type 2 diabetes mellitus,and analyze the relationship between mental health and coping skills.Methods A total of 167 type 2 diabetic patients were enrolled in the study [including 94 male and 73 female,aged 22 to 80 years,mean age:(57.93 ± 13.02) years].SCL90 (Symptom Checklist90) and coping style questionnaire (CSQ) were used to evaluate mental health and coping styles,respectively.Information on patient age,gender,disease duration,complications,glycosylated hemoglobin (HbA1c) and treatment were collected.The demographic and glycemic data were also studied.Finally,the risk factors associated with mental health and the relationship between mental health and coping style were statistically analyzed.Results 32.3％ (54/167) patients with type 2 diabetes had mental health problems.Somatization disorder,obsessive-compulsive symptom and interpersonal sensitivity were the most common morbidities (16.8％,15.6％,15.6％,x2=38.8,P ＜0.01).Compared with patients without mental health problems,patients with immature coping style had higher scores in the questionnaire,including self-accusation [(4.50 ± 3.00)vs.(2.48 ± 2.18),P ＜0.01],avoidance [(5.63 ± 2.40) vs.(4.88 ± 2.09),P ＜0.01] and rationalization [(5.83 ± 2.40)vs.(4.88 ± 2.09),P ＜0.01].Conclusions Type 2 diabetic patient have more mental health problems,and the immature coping style have an opposite influence on mental health.Therefore,physicians should pay more attention to the early assessment and intervention of mental health in type 2 diabetics.
