中青年2型糖尿病患者二元应对现状及影响因素分析

doi:10.3761/j.jissn.0254-1769.2022.05.010

摘要/Abstract

摘要：

目的调查中青年2型糖尿病患者二元应对现状,并分析其影响因素。方法采用便利抽样的方法,2020年2月—12月选取郑州市2所三级甲等医院内分泌科住院部的411例中青年2型糖尿病患者作为调查对象,采用一般资料调查表、二元应对问卷、中文版糖尿病自我效能量表进行问卷调查。结果中青年2型糖尿病患者二元应对总分为（130.6±11.26）分,糖尿病自我效能总分为（93.11±18.93）分,两者呈正相关（r=0.323,P<0.05）;多元线性回归分析结果显示,性别、家庭人均月收入、病程、自我效能水平是中青年2型糖尿病患者二元应对的影响因素（均P<0.05）。结论中青年2型糖尿病患者二元应对处于中等水平,有待进一步提高。二元应对受多因素影响,临床护理中可以以自我效能为切入点,制订可行、有效的干预措施。

关键词: 中青年, 2型糖尿病, 二元应对, 影响因素分析, 护理

Abstract:

Objective To investigate the status of dyadic coping in young and middle-aged type 2 diabetes patients,and to explore the influencing factors. Methods A total of 411 young and middle-aged type 2 diabetes patients were recruited from 2 tertiary hospitals in Zhengzhou from February to December 2020,and they were investigated with a general information questionnaire,Dyadic Coping Inventory（DCI） and Diabetes Self-efficacy Scale（DSES）. Results The total DCI score was 130.60±11.26 and the total DSES score was 93.11±18.93,showing significantly positive correlation（r=0.323,P<0.05）. Gender,duration of disease,family monthly income and self-efficacy were main factors affecting dyadic coping of patients（P<0.05 for all）. Conclusion The level of dyadic coping in type 2 diabetes patients are average and needs to be further improved. Self-efficacy can be used as the starting point to develop feasible and effective interventions to enhance dyadic coping of patients with type 2 diabetes in clinical nursing.

Key words: Young and Middle-Aged, Type 2 Diabetes, Dyadic Coping, Root Cause Analysis, Nursing Care

赵露, 李俊玲, 王俊锋, 顾培培, 李玉雪, 郑丽萍. 中青年2型糖尿病患者二元应对现状及影响因素分析[J]. 中华护理杂志, 2022, 57(5): 576-581.

ZHAO Lu, LI Junling, WANG Junfeng, GU Peipei, LI Yuxue, ZHENG Liping. Investigation and analysis of factors related to dyadic coping among young and middle-aged patients with type 2 diabetes[J]. Chinese Journal of Nursing, 2022, 57(5): 576-581.

图/表 4

表1 患者感知的二元应对得分情况（分,

\bar{x} \pm s

）

Table 1 Score of dyadic coping of patients’ perception（scores,

\bar{x} \pm s

）

表1 患者感知的二元应对得分情况（分, $\bar{x} \pm s$ ）

Table 1 Score of dyadic coping of patients’ perception（scores, $\bar{x} \pm s$ ）

表2 中青年2型糖尿病患者一般资料及二元应对的单因素分析（n=411）

Table 2 Comparison of baseline and univariate analysis of the influencing factors of dyadic coping（n=411）

表3 自变量赋值方式

Table 3 Independent variable assignment

表4 中青年2型糖尿病患者二元应对影响因素的多重线性回归分析

Table 4 Multiple regression analysis of the influencing factors of dyadic coping

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