| 老年糖尿病患者述情障碍现状及影响因素分析 |
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| 引用本文： | 薛晶晶,孙建萍,田朝霞.老年糖尿病患者述情障碍现状及影响因素分析[J].现代预防医学,2020,0(2):305-309. |
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| 作者姓名： | 薛晶晶 孙建萍 田朝霞 |
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| 作者单位： | 1.山西医科大学汾阳学院护理系，山西 汾阳 032200；2. 山西中医药大学护理学院，山西 晋中 030619 |
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| 摘 要： | 目的 探讨老年糖尿病患者述情障碍现状并分析其影响因素。方法 通过方便抽样的方法选取三所三甲医院180名老年糖尿病患者为研究对象，采用一般情况调查表、多伦多述情障碍量表以及Barthel指数评定量表对其调查。采用χ2检验和logistic回归进行相关统计分析。结果 老年糖尿病患者述情障碍的发生率为45%，主要表现为情感识别障碍和情感表达障碍。logistic回归结果显示，文化程度为小学OR = 2.536,95%CI = (1.847,3.482)]、初中OR = 1.529,95%CI = (1.082,2.159)]、在职OR = 8.777,95%CI = (0.984,78.309)]、日常生活能力中为轻度依赖OR = 2.044,95%CI = (1.154,3.620]，中度依赖OR = 2.337,95%CI = (1.811,3.016)]，重度依赖OR = 4.570,95%CI = (3.268,6.389)]；合并其他疾病OR = 3.939,95%CI = (2.363,6.535)]；有并发症OR = 1.683,95%CI = (1.024,2.779)]的患者更容易发生述情障碍。结论 老年糖尿病患者述情障碍发生率高且程度较严重，护理人员应加强对患者的社会支持及心理支持，以提高患者的情感认知能力、自我管理能力及社会适应能力，从而提高患者的生活质量。
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| 关 键 词： | 老年人 述情障碍 糖尿病 影响因素 |
Analysis of alexithymia status and influencing factors in elderly patients with diabetes mellitus |
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| XUE Jing-jing,SUN Jian-ping,TIAN Zhao-xia.Analysis of alexithymia status and influencing factors in elderly patients with diabetes mellitus[J].Modern Preventive Medicine,2020,0(2):305-309. |
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| Authors: | XUE Jing-jing SUN Jian-ping TIAN Zhao-xia |
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| Affiliation: | *Department of Nursing, Fenyang College, Shanxi Medical University, Fenyang, Shanxi 032200, China |
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| Abstract: | Objective To explore the status of alexithymia in elderly diabetic patients and analyze its influencing factors.Methods 180 elderly patients with diabetes mellitus in three third-tier hospitals were selected by convenient sampling method. The general situation questionnaire, Toronto alexithymia scale and Barthel index rating scale were used to investigate the prevalence of diabetes mellitus. Chi-square test and logistic regression were used for statistical analysis. Results The incidence of alexithymia in elderly patients with diabetes mellitus was 45%. The main manifestations of alexithymia were emotional recognition disorder and emotional expression disorder. Logistic regression showed that primary school OR=2.536,95%CI=(1.847,3.482)], junior middle school OR=1.529, 95%CI=(1.082,2.159)], employed OR=8.777, 95%CI=(0.984,78.309)],mild dependence OR =2.044, 95% CI =(1.154,3.620)], moderate dependence OR =2.337, 95% CI =(1.811,3.016)], severe dependenceOR=4.570, 95%CI=(3.268,6.389)], combined with other diseasesOR=3.939, 95%CI=(2.363,6.535)], patients with complications OR =1.683, 95% CI =(1.024,2.779)] were more tolerant. Alexithymia is prone to occur. Conclusion The incidence of alexithymia in elderly patients with diabetes mellitus is high and serious. Nurses should strengthen the social support and psychological support for patients to improve their emotional cognitive ability, self-management ability and social adaptability, so as to improve the quality of life of patients. |
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| Keywords: | Aged Alexithymia Diabetes Influencing factors |
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