CAJ | 학술논문

目的：调查糖尿病患者家庭主要照顾者心理健康状况，并分析其影响因素。方法：应用一般情况调查表、抑郁自评量表（SDS）、焦虑自评量表（SAS)对150名糖尿病患者的主要照顾者进行问卷调查，并分析人口学特征对其心理状况的影响。结果：糖尿病患者主要照顾者SAS平均得分为（41.22±5.53)分，SDS平均得分为(45.02±8.28)分，两者均高于全国常模，差异具有统计学意义（P<0.05），多元线性回归分析显示：患者糖尿病分型、医疗费用支付方式以及是否需要监督患者饮食是影响照顾者焦虑的主要因素；患者糖尿病分型、医疗费用支付方式、患者日常能否控制血糖水平以及是否全职照顾是影响照顾者抑郁的主要因素。结论：应提高对糖尿病家庭主要照顾者心理健康状况的关注，加强社会支持，提高其心理健康水平，以便为糖尿病患者提供更好的照顾。
목적：조사당뇨병환자가정주요조고자심리건강상황，병분석기영향인소。방법：응용일반정황조사표、억욱자평량표（SDS）、초필자평량표（SAS)대150명당뇨병환자적주요조고자진행문권조사，병분석인구학특정대기심리상황적영향。결과：당뇨병환자주요조고자SAS평균득분위（41.22±5.53)분，SDS평균득분위(45.02±8.28)분，량자균고우전국상모，차이구유통계학의의（P<0.05），다원선성회귀분석현시：환자당뇨병분형、의료비용지부방식이급시부수요감독환자음식시영향조고자초필적주요인소；환자당뇨병분형、의료비용지부방식、환자일상능부공제혈당수평이급시부전직조고시영향조고자억욱적주요인소。결론：응제고대당뇨병가정주요조고자심리건강상황적관주，가강사회지지，제고기심리건강수평，이편위당뇨병환자제공경호적조고。
Objective:To understand the mental health status and its inlfuencing factors of primary family caregivers of diabetes patients. Methods:The self-rating depression scale (SDS), self-evaluation of anxiety scale (SAS) were used to investigate 150 caregivers of patients with diabetes. The inlfuence of demographic characteristics on their psychological status were analyzed. Results:The average SAS score of diabetic patients' caregivers was 41.22±5.53, the average score of SDS was 45.02±8.28, both of them were higher than those of the national norm (P<0.05). Multiple linear regression analysis showed that diabetes type, medical payment scheme and whether or not having the need to monitor patients' diet were the main factors inlfuencing the caregivers' anxiety;while diabetes type, medical payment scheme, patients' blood sugar control levels and whether or not full-time care were the main factors inlfuencing the caregivers' depression. Conclusion:Medical staff need pay more attention on mental health status of primary family caregivers of diabetes;strengthen the social support to improve their psychological health level.