Abstract:

Objectives To explore the level of resilience among adolescents with Type 1 diabetes and its association with glycemic control,diabetes distress,and quality of life. Methods A total of 360 adolescents with Type 1 diabetes were recruited from the outpatient and inpatient in Endocrinology departments of 2 public hospitals in Nanjing by convenience sampling method. The data were collected by the Diabetes Strengths and Resilience Measure for Adolescents,the Problem Areas in Diabetes Scale-5,the Short Form of the Chinese version Diabetes Quality of Life for Youth Scale,and the Self-Designed General Information Questionnaire. Results The resilience of adolescents with Type 1 diabetes was 40.18±9.27,which was above the medium level. Resilience was negatively correlated with glycosylated hemoglobin value（r=-0.373,P<0.001） and diabetes distress（r=-0.336,P<0.001）,while it was positively correlated with quality of life（r=0.431,P<0.001）. Hierarchical regression analysis showed that resilience independently explained 10.0% of the variation in glycemic control,7.8% of diabetes distress,and 17.7% of the quality of life,after controlling for demographic and disease variables. Conclusions Interventions that target patients’ resilience may improve their glycemic control,mental health,and quality of life,which should arouse the attention of medical workers.

Key words: Adolescents, Diabetes Care, Resilience, Glycemic Control, Quality of Life

摘要：

目的 探讨青少年1型糖尿病患者心理韧性现状及与血糖控制、糖尿病痛苦和生活质量的关系。 方法 采用便利抽样法,选取2019年2月—2020年9月在南京市两所三级甲等医院门诊复诊或病房住院的360例青少年1型糖尿病患者作为调查对象。使用青少年糖尿病优势与韧性量表、5条目糖尿病痛苦量表、中文版简易青少年糖尿病生活质量量表及一般情况调查表调查患者。采用高效液相色谱法测定患者的糖化血红蛋白值。 结果 青少年1型糖尿病患者心理韧性得分为（40.18±9.27）分,处于中等偏上水平。心理韧性总分与糖化血红蛋白值（r=-0.373,P<0.001）、糖尿病痛苦得分（r=-0.336,P<0.001）呈负相关,与生活质量得分呈正相关（r=0.431,P<0.001）。分层线性回归分析结果显示,控制人口社会学和疾病变量后,心理韧性独立解释患者血糖控制变异的10.0%,对糖尿病痛苦的解释为7.8%,占生活质量变异的17.7%。结论 干预患者的心理韧性或可改善其血糖控制、心理状态和生活质量,值得医务工作者关注。

关键词: 青少年, 糖尿病护理, 心理韧性, 血糖控制, 生活质量