Influencing factors for resilience of young and middle-aged patients with type 2 diabetes mellitus
YANG Xiaodi, LI Zengrong, LIU Suzhen
Department of Endocrinology, Hangzhou First People's Hospital, Affiliated to the Medicine School of Zhejiang University, HangZhou, Zhejiang 310006, China
Abstract:Objective To analyze the level of resilience and its influencing factors in the young and middle-aged patients with type 2 diabetes mellitus ( T2DM ), so as to provide reference for optimizing mental interventions for the patients. Methods The young and middle-aged patients with T2DM from September 2019 to September 2020 in Hangzhou First People's Hospital, affiliated to the Medical School of Zhejiang University, were selected as the subjects, the general information questionnaire, Perceived Social Support Scale ( PSSS ) , Conner-Davidson Resilience Scale ( CD-RISC ), Diabetes Distress Scale (DDS) and Diabetes Management Self-efficacy Scale ( DMSES ) were used to investigate, the multivariate linear regression model was used to analyze the influencing factors for resilience in young and middle-aged patients with T2DM. Results A total of 250 questionnaires were distributed and 238 valid questionnaires were recovered. The effective recovery rate was 95.20%. Among 238 patients, 142 cases ( 59.66% ) were males and 96 cases ( 40.34% ) were females; 168 cases ( 70.59% ) were 45-59 years old. The CD-RISC score was 70.49±12.81, PSSS score was 63.70±10.90, DDS score was 2.14±0.87, and DMSES score was 130.22±38.49. The results of multivariate regression analysis indicated that educational level, average monthly family income, fasting blood glucose, self-efficacy, social support and diabetes distress were the influencing factors for resilience of young and middle-aged patients with T2DM ( P<0.05 ). Conclusion The level of mental resilience in young and middle-aged patients with T2DM is mainly related to the level of education, monthly family income, blood glucose control, diabetes distress, self-efficacy and social support.
杨晓迪, 李曾荣, 刘素贞. 中青年2型糖尿病患者心理弹性的影响因素分析[J]. 预防医学, 2021, 33(7): 665-669.
YANG Xiaodi, LI Zengrong, LIU Suzhen. Influencing factors for resilience of young and middle-aged patients with type 2 diabetes mellitus. Preventive Medicine, 2021, 33(7): 665-669.
[1] HUANG Y,KARURANGA S,MALANDA B,et al.Call for data contribution to the IDF Diabetes Atlas 9th Edition 2019[J]. Diabetes Res Clin Prac,2018,140(6):351-352. [2] ZHANG Y,LUK A,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. [3] FRANKLIN D.Mental resilience in dealing with traumatic events[J].Aust J Forensic Sci,2019,51(4):369-370. [4] 蒋凤,黄金,戴美玲,等.积极心理学在糖尿病患者心理健康中的相关研究[J].中华糖尿病杂志,2019,11(10):689-692. [5] 郎倩,李艳玲,金子环,等.老年慢性心力衰竭患者心理弹性与自我效能、社会支持的相关性分析[J].中华现代护理杂志,2018,24(20):2383-2386. [6] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2017 年版)[J].中国实用内科杂志,2018,8(4):34-86. [7] 黄丽,姜乾金,任蔚红.应对方式、社会支持与癌症病人心身症状的相关性研究[J].中国心理卫生杂志,1996,10(4):160-161. [8] 雷阳,张静平.中文版Connor-Davidson心理弹性量表在糖尿病患者中的信效度研究[J].中国全科医学,2016,19(10):1188-1193. [9] POLONSKY W H,FISHER L,EARLES J,et al.Assessing psychosocial distress in diabetes: development of the Diabetes Distress Scale[J].Diabetes Care,2005,28(3):626-631. [10] 彭鑫,崔焱,李燕,等.糖尿病管理自我效能量表在2型糖尿病病人应用中的效果评价[J].全科护理,2010,8(4):946-947. [11] 杨碧堃,张欢,周英,等.肺癌手术患者心理弹性与应对方式相关性研究[J].广州医科大学学报,2016,44(1):85-88. [12] 喻喆,刘素贞.44岁以下2型糖尿病患者自我管理行为的影响因素研究[J].预防医学,2020,32(2):165-168. [13] 牟丽,夏英华,何群,等.中国糖尿病管理研究热点分析[J].预防医学,2020,32(3):235-239. [14] 卢丽婷,刘俊,余博豪,等.2型糖尿病患者血糖控制与精神心理因素的相关性研究[J].中国循证心血管医学杂志,2019,11(7):881-885. [15] 张敏,刘智慧,李晶晶,等.首发脑卒中患者的心理弹性水平及其影响因素[J].解放军护理杂志,2019,36(4):16-19,61. [16] 程美芳. 中青年2型糖尿病患者心理弹性与社会支持、疾病感知的相关性研究[D].南昌:南昌大学,2019. [17] RARIDEN C.Diabetes distress: assessment and management of the emotional aspect of diabetes mellitus[J].J Nurse Pract,2019,15(9):653-656.