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

参考文献 25

[1]	Saeedi P, Petersohn I, Salpea P, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045:results from the International Diabetes Federation Diabetes Atlas,9th edition[J]. Diabetes Res Clin Pract, 2019, 157:107843.
[2]	Zhang Y, Luk AOY, Chow E, et al. High risk of conversion to diabetes in first- degree relatives of individuals with young-onset type 2 diabetes:a 12-year follow-up analysis[J]. Diabet Med, 2017, 34(12):1701-1709. DOI URL
[3]	中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2020年版)[J]. 中华内分泌代谢杂志, 2021, 37(4):311-398.
	Chinese Diabetes Society. Guideline for the prevention and treatment of type 2 diabetes mellitus in China(2020 edition)[J]. Chin J Endoc Meta, 2021, 37(4):311-398.
[4]	严佳丽, 裘慧颖, 贾芸, 等. 模拟体验并发症健康教育在中青年初发2型糖尿病患者中的应用[J]. 护理学报, 2021, 28(5):75-78.
	Yan JL, Qiu HY, Jia Y, et al. Application of simulated experience complication health education in young and middle-aged patients with type 2 diabetes[J]. J Nurs China, 2021, 28(5):75-78.
[5]	Lüscher J, Kowatsch T, Boateng G, et al. Social support and common dyadic coping in couples’ dyadic management of type Ⅱ diabetes:protocol for an ambulatory assessment application[J]. JMIR Res Protoc, 2019, 8(10):e13685.
[6]	史根芽, 史铁英, 刘宇, 等. 慢性病患者与配偶亲密关系的研究进展[J]. 中华护理杂志, 2021, 56(5):786-790.
	Shi GY, Shi TY, Liu Y, et al. Research progress on the intimate relationship between chronic disease patients and their spouses[J]. Chin J Nurs, 2021, 56(5):786-790.
[7]	Liao J, Wu X, Wang C, et al. Couple-based collaborative management model of type 2 diabetes mellitus for community-dwelling older adults in China:protocol for a hybrid type 1 randomized controlled trial[J]. BMC Geriatr, 2020, 20(1):123. DOI URL
[8]	蔡婷婷, 袁长蓉. 乳腺癌病人及其配偶二元应对研究进展[J]. 护理研究, 2020, 34(22):3990-3995.
	Cai TT, Yuan CR. Research progress of dyadic coping of breast cancer patients and their spouses[J]. Chin Nurs Res, 2020, 34(22):3990-3995.
[9]	安慧颖, 王月芹, 陈长英, 等. 中青年淋巴瘤患者二元应对水平及影响因素分析[J]. 护理学杂志, 2020, 35(3):70-73.
	An HY, Wang YQ, Chen CY, et al. The level and related factors of dyadic coping in young and middle-aged lymphoma patients[J]. J Nurs Sci, 2020, 35(3):70-73.
[10]	World Health Organization. Definition,diagnosis and classification of diabetes mellitus and its complications:report of a WHO consultation. Part 1.diagnosis and classification of diabetes mellitus[M]. Geneva:World Health Organization, 1999.
[11]	张树光, 严杰, 孙玉娇, 等. 中青年2型糖尿病患者健康饮食行为及影响因素的研究[J]. 中华护理杂志, 2018, 53(7):816-821.
	Zhang SG, Yan J, Sun YJ, et al. The stages and influencing factors of dietary behaviors in young and middle-aged patients with type 2 diabetes[J]. Chin J Nurs, 2018, 53(7):816-821.
[12]	Bodenmann G, Randall AK. Common factors in the enhancement of dyadic coping[J]. Behav Ther, 2012, 43(1):88-98. DOI PMID
[13]	Xu F, Hilpert P, Randall AK, et al. Validation of the Dyadic Coping Inventory with Chinese couples:factorial structure,measurement invariance,and construct validity[J]. Psychol Assess, 2016, 28(8):127-140. DOI
[14]	Hurley AC, Shea CA. Self-efficacy:strategy for enhancing diabetes self-care[J]. Diabetes Educ, 1992, 18(2):146-150. DOI URL
[15]	王璟璇, 王瑞霞, 林秋菊. 门诊诊断初期非胰岛素依赖型糖尿病患者的自我照顾行为及相关因素之探讨[J]. 护理学杂志, 1998, 45(2):60-76.
	Wang JX, Wang RX, Lin QJ. Self-care behavior and related factors in patients with non-insulin dependent diabetes mellitus at the early stage of outpatient diagnosis[J]. J Nurs, 1998, 45(2):60-76.
[16]	Vaske I, Thöne MF, Kühl K, et al. For better or for worse:a longitudinal study on dyadic coping and quality of life among couples with a partner suffering from COPD[J]. J Behav Med, 2015, 38(6):851-862. DOI URL
[17]	Mittinty MM, Kindt S, Mittinty MN, et al. A dyadic perspective on coping and its effects on relationship quality and psychological distress in couples living with chronic pain:a longitudinal study[J]. Pain Med, 2020, 21(2):e102-e113. DOI URL
[18]	葛华英, 孔利萍, 刘素贞. 中青年糖尿病足高危患者足部自我管理行为现状及影响因素分析[J]. 中国慢性病预防与控制, 2020, 28(9):688-691.
	Ge HY, Kong LP, Liu SZ. Analysis of current situation and influencing factors of foot self-management behavior in middle-aged and young patients with high risk of diabetic foot[J]. Chin J Prev Control Chronic Dis, 2020, 28(9):688-691.
[19]	刘林, 徐慧文, 王世伟, 等. 自我效能在空巢老年2型糖尿病病人心理痛苦与自我管理间的中介效应研究[J]. 中国护理管理, 2019, 19(11):1621-1625.
	Liu L, Xu HW, Wang SW, et al. Mediating effect of self-efficacy in the relationship between diabetes related distress and self-management in empty nest elderly patients with Type 2 Diabetes[J]. Chin Nurs Manag, 2019, 19(11):1621-1625.
[20]	丁春戈, 梅永霞, 林蓓蕾, 等. 二元应对在慢性病患者及其配偶中的应用进展[J]. 中华护理杂志, 2018, 53(5):626-630.
	Ding CG, Mei YX, Lin BL, et al. The application of dyadic coping in patients with chronic diseases and their spouses[J]. Chin J Nurs, 2018, 53(5):626-630.
[21]	Van Vleet M, Helgeson VS, Seltman HJ, et al. Communally cop-ing with diabetes:an observational investigation using the actor-partner interdependence model[J]. J Fam Psychol, 2018, 32(5):654-663. DOI URL
[22]	Manne SL, Kashy DA, Zaider T, et al. Couple-focused interventions for men with localized prostate cancer and their spouses:a randomized clinical trial[J]. Br J Health Psychol, 2019, 24(2):396-418. DOI URL
[23]	Bannon SM, Grunberg VA, Reichman M, et al. Thematic analysis of dyadic coping in couples with young-onset dementia[J]. JAMA Netw Open, 2021, 4(4):e216111. DOI PMID
[24]	Rapelli G, Donato S, Pagani AF, et al. The association between cardiac illness-related distress and partner support:the moderating role of dyadic coping[J]. Front Psychol, 2021, 12:624095.
[25]	Lyons KS, Lee CS. The theory of dyadic illness management[J]. J Fam Nurs, 2018, 24(1):8-28. DOI URL

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