|
|
|
| Factors affecting the social alienation among the elderly patients with type 2 diabetes mellitus |
| ZHOU Mengjiao, LI Meilin, KONG Liping
|
| Department of Endocrinology, Hangzhou First People's Hospital, Hangzhou, Zhejiang 310006, China |
|
|
|
|
Abstract Objective To investigate the influencing factors for social alienation among the elderly patients with type 2 diabetes mellitus (T2DM), so as to provide insights into formulating targeted intervention measures. Methods T2DM patients aged 60 years and older were selected from Hangzhou First People's Hospital from January to October 2023. Their demographics, diabetes complications were collected using questionnaire surveys, social support level was evaluated using the Social Support Scale, and the stigma was evaluated using the Chinese version of the Type 2 Diabetes Stigma Assessment Scale, and the social alienation was assessed using General Alienation Scale. Factors affecting the social alienation were identified among the elderly patients with T2DM using a multiple linear regression model. Results A total of 316 elderly patients with T2DM were investigated, including 171 males (54.11%) and 145 females (45.89%), and had a mean age of (69.75±8.12) years. The level of social support was mainly medium, with 162 cases accounted for 51.27%. The average stigma scores were (61.87±12.50) points, and average social alienation scores were (42.09±6.33) points. Multiple linear regression analysis identified educational level (high school/junior college, β'=-0.159; college and above, β'=-0.301), marital status (married persons, β'=-0.236), monthly household income (3 000 Yuan and more, β'=-0.175), diabetes complications (β'=0.192), social support level (medium, β'=-0.210; high, β'=-0.352) and stigma score (β'=0.283) as factors affecting the social alienation among the elderly patients with T2DM. Conclusion The social alienation among the elderly patients with T2DM are associated with educational level, marital status, family income, diabetes complications, social support level and stigma.
|
|
Received: 04 January 2024
Revised: 19 March 2024
Published: 15 April 2024
|
|
|
|
|
|
[1] 《中国老年2型糖尿病防治临床指南》编写组.中国老年2型糖尿病防治临床指南(2022年版)[J].中国糖尿病杂志,2022,30(1):2-51.
[2] IDA S,KANEKO R,IMATAKA K,et al.Factors associated with social isolation and being homebound among older patients with diabetes:a cross-sectional study[J].BMJ Open,2020,10(11):1-8.
[3] 张孟羽,郭丽娜,郭园丽,等.脑卒中患者社会疏离及影响因素研究[J].现代预防医学,2023,50(11):2051-2055,2061.
[4] 刘梦琪,何平平,王萍,等.老年冠心病患者社会疏离的潜在剖面及影响因素[J].中国健康心理学杂志,2024,32(3):388-394.
[5] 吴红伦,钟颖嫦,王海燕,等.老年糖尿病患者社会疏离感现状及其影响因素研究[J].中华护理教育,2023,20(5):594-598.
[6] 肖水源. 《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,4(2):98-100.
[7] 李玉峰,马宏文,侯若楠,等.2型糖尿病病耻感评估量表的汉化及信效度研究[J].中国实用护理杂志,2017,33(30):2343-2347.
[8] 吴霜,李彦章,赵小淋,等.一般疏离感量表在老年人中的信度和效度分析[J].成都医学院学报,2015,10(6):751-754.
[9] 吕妃,魏兰芝,柳晓姝,等.老年人一般疏离感和关爱需求的相关性[J].中国老年学杂志,2020,40(13):2877-2880.
[10] 李雪雪,史新宇,孙铮.城市空巢老人社会疏离感与家庭亲密度和适应性的相关研究[J].泰山医学院学报,2020,41(10):724-727.
[11] EVANS I,LEWELLYN D J,MATTHEWS F E,et al.Living alone and cognitive function in later life[J].Arch Gerontol Geriatr,2019,81:222-233.
[12] BUCKI B,SPITZ E,BAUMANN M.Emotional and social repercussions of stroke on patient-family caregiver dyads:analysis of diverging attitudes and profiles of the differing dyads[J].PLoS One,2019,14(4):1-15.
[13] 蒋喆怡,陈公锦,王巧巧,等.妊娠糖尿病患者自我管理行为的影响因素研究[J].预防医学,2023,35(11):935-938.
[14] BRINKHUES S,DUKERS-MUIJRERS N H T M,HOEBE C J P A,et al.Social network characteristics are associated with type 2 diabetes complications:The Maastricht Study[J].Diabetes Care,2018,41(8):1654-1662.
[15] 徐亚南,栗文娟,赵淑芹,等.中青年缓解期精神分裂症患者社会疏离体验的质性研究[J].中国全科医学,2024,27(9):1088-1094.
[16] TAYLOR H O,TAYLOR R J,NGUYEN A W,et al.Social isolation,depression,and psychological distress among older adults[J].J Aging Health,2018,30(2):229-246.
[17] BRIGHTON L J,CHILCOT J,MADDOCKS M.Social dimensions of chronic respiratory disease:stigma,isolation,and loneliness[J].Curr Opin Support Palliat Care,2022,16(4):195-202.
[18] 李利平,孙建萍,吴红霞.养老机构慢性病失能老年人病耻感影响因素研究[J].预防医学,2020,32(10):1030-1033.
[19] 叶赵芳,王丛,贾庆梅.青年2型糖尿病患者病耻感及影响因素分析[J].预防医学,2020,32(12):1246-1249. |
|
|
|
