| 健康素养视角下2型糖尿病患者病耻感影响因素分析 |
| |
| 引用本文： | 杨丽君1,李雪莹1,李伟1,高杰3,马桂峰1,刘亚楠3,刘建明2. 健康素养视角下2型糖尿病患者病耻感影响因素分析[J]. 现代预防医学, 2022, 0(8): 1462-1466 |
| |
| 作者姓名： | 杨丽君1 李雪莹1 李伟1 高杰3 马桂峰1 刘亚楠3 刘建明2 |
| |
| 作者单位： | 1. 潍坊医学院公共卫生学院,山东 潍坊 261053;2. 潍坊医学院基础医学院,山东 潍坊 261053;3. 潍坊市直机关医院 |
| |
| 摘 要： | 目的 在健康素养视角下了解2型糖尿病患者病耻感现状及干预因素,为糖尿病患者更好实现自我管理提供干预措施。方法 采用便利抽样法,于2021年7—10月对某市3所综合型医院内分泌科门诊的355例糖尿病患者进行问卷调查,通过一般资料调查表、糖尿病健康素养量表、2型糖尿病病耻感量表进行数据收集,结果分析采用多元逐步回归。结果 2型糖尿病患者区别对待、责怪和评判、自我耻辱病耻感得分依次为（16.45±5.02）分、（18.27±6.06）分、（17.23±6.85）分,处于中等偏上水平。调查结果显示,健康素养、健康教育、居住类型为三个维度共同的影响因素,病程和治疗方式是责怪和评判病耻感与自我耻辱病耻感的共性影响因素,付费类型（β = - 0.139,t = - 2.797,P = 0.005）、居住地（β = - 0.204,t = - 3.865, P＜0.001）、婚姻状况（β = - 0.116,t = - 2.313, P = 0.021）、并发症数量（β = 0.110,t = 2.348, P = 0.019）为区别对待病耻感的独特影响因素,经济负担（β = 0.088,t = 2.065, P = 0.040）为责怪和评判病耻感的独特影响因素,性别（β = 0.120,t = 2.833, P = 0.005）为自我耻辱病耻感的独特影响因素。各个维度中,除并发症数量、经济负担、治疗方式、病程、性别正向预测病耻感,其余均可负向预测糖尿病病耻感。结论 2型糖尿病患者病耻感中等偏上,从提升健康素养视角出发,提供个性化干预措施减低病耻感,提高糖尿病患者生活质量。
|
| 关 键 词： | 2型糖尿病 病耻感 健康素养 多元线性回归 |
Analysis of influencing factors of stigma in type 2 diabetes patients from the perspective of health literacy |
| |
| YANG Li-jun,LI Xue-ying,LI Wei,GAO Jie,MA Gui-feng,LIU Ya-nan,LIU Jian-ming. Analysis of influencing factors of stigma in type 2 diabetes patients from the perspective of health literacy[J]. Modern Preventive Medicine, 2022, 0(8): 1462-1466 |
| |
| Authors: | YANG Li-jun LI Xue-ying LI Wei GAO Jie MA Gui-feng LIU Ya-nan LIU Jian-ming |
| |
| Affiliation: | *School of Public Health Weifang Medical University, Weifang, Shandong 261053, China |
| |
| Abstract: | Objective To understand the status and intervention factors of stigma in type 2 diabetes patients from the perspective of health literacy, and to provide intervention measures for better self-management of diabetes patients. Methods Using convenience sampling method, a questionnaire survey was conducted from July to October 2021 on 355 diabetic patients in the endocrinology outpatient clinics of three general type hospitals in a city, and data were collected by general information questionnaire, diabetes health literacy scale, and type 2 diabetes morbidity stigma scale, and the results were analyzed by multiple stepwise regression. Results The scores of differentiation, blame and judgment, and self-stigma sickness stigma in type 2 diabetic patients were (16.45±5.02), (18.27±6.06), and (17.23±6.85) in order, which were in the middle to upper level. The findings showed that health literacy, health education, and type of residence were the common influencing factors for the three dimensions, and the duration of illness and treatment were the common influencing factors for blaming and judging the stigma of illness and self-stigma of illness, and the type of payment (β=-0.139, t=-2.797, P=0.005), place of residence (β=-0.204, t=-3.865, P<0.001), and marital status (β=-0.116, t=-2.313, P=0.021), and number of comorbidities (β=0.110, t=2.348, P=0.019) as unique influences to differentiate stigma, economic burden (β=0.088, t=2.065, P=0.040) as unique influences to blame and judge stigma, and gender (β=0.120, t=2.833, P=0.005) as a unique influencing factor for self-stigmatizing sickness stigma. Among the dimensions, all of them negatively predicted diabetes stigma except for the number of complications, financial burden, treatment modality, disease duration, and gender, which positively predicted diabetes stigma. Conclusion Type 2 diabetes mellitus patients have a moderate to high level of stigma, and from the perspective of improving health literacy, personalized interventions should be provided to reduce stigma and improve the quality of life of diabetes mellitus patients. |
| |
| Keywords: | Type 2 diabetes Stigma Health literacy Multiple linear regression |
|
| 点击此处可从《现代预防医学》浏览原始摘要信息 |
|
点击此处可从《现代预防医学》下载免费的PDF全文 |
|
