CAJ | 학술논문

目的通过对社区2型糖尿病患者自我效能与心理痛苦的水平及相关性分析,为制定干预对策提供参考依据.方法采用中文版糖尿病自我效能量表和中文版糖尿病痛苦量表,对某社区5个社区卫生站或服务中心的252例2型糖尿病患者进行调查,分析两者的水平及其相关性.结果本组患者的自我效能得分总均分8.25分,属中等偏上水平;糖尿病痛苦量表结果显示,患者因糖尿病导致的与生活规律相关痛苦维度、情感负担维度的表现较明显,其情感负担处于轻中度占29.4%,生活规律相关痛苦处于轻中度者占30.9%;心理痛苦总分及其4个维度得分与自我效能得分呈一定负相关(r=-0.430~-0.230,P<0.01).结论社区2型糖尿病患者的自我效能属中等偏上水平,且自我效能水平越高则心理痛苦程度越轻.提示应侧重对患者加强糖尿病导致的与生活规律相关痛苦、情感方面痛苦的干预;提高患者控制血糖的自信心,以消除负面情绪.
목적통과대사구2형당뇨병환자자아효능여심리통고적수평급상관성분석,위제정간예대책제공삼고의거.방법채용중문판당뇨병자아효능량표화중문판당뇨병통고량표,대모사구5개사구위생참혹복무중심적252례2형당뇨병환자진행조사,분석량자적수평급기상관성.결과본조환자적자아효능득분총균분8.25분,속중등편상수평;당뇨병통고량표결과현시,환자인당뇨병도치적여생활규률상관통고유도、정감부담유도적표현교명현,기정감부담처우경중도점29.4%,생활규률상관통고처우경중도자점30.9%;심리통고총분급기4개유도득분여자아효능득분정일정부상관(r=-0.430~-0.230,P<0.01).결론사구2형당뇨병환자적자아효능속중등편상수평,차자아효능수평월고칙심리통고정도월경.제시응측중대환자가강당뇨병도치적여생활규률상관통고、정감방면통고적간예;제고환자공제혈당적자신심,이소제부면정서.
@@@@Objective To analyze the correlation between self-efficacy and psychological distress of type 2 diabetes patients in communities and to provide reference for the intervention. Methods Self-efficacy Scale for Diabetes Mellitus Patients (Chinese version) and Diabetes Distress Scale (Chinese version) were applied to investigate 252 type 2 diabetes patients in five different community clinics and health service centers. Results Average score of self-efficacy was 8.25, which indicated their self-efficacy remained in upper or mediate level; there was obvious manifestation of pain related to life routine and emotional burden, both of which were caused by diabetes and self-efficacy of type 2 diabetes patients was negatively correlated to their psychological distress (r=-0.430~-0.230, P<0.01). Conclusion There is negative correlation between self-efficacy and psychological distress of type 2 diabetes patients in communities. Psychological comfort is of importance in self-efficacy nursing of these patients by reducing their psychological distress, restoring their self-confidence in controlling blood sugar and eliminating their negative emotion.