2型糖尿病患者心理健康水平与自我管理的相关性研究

目的 研究2型糖尿病患者心理健康水平与疾病自我管理之间的关系。方法 采用综合性医院焦虑抑郁量表(HAD)、自我管理量表、基本资料量表,对198例门诊患者作一般资料、疾病资料、焦虑抑郁水平和自我管理水平的调查。结果 198例2型糖尿病患者抑郁症患病率8.0％,焦虑症患病率14．1％,同时患有焦虑抑郁症8％;自我管理总分来看,水平良好25．7％,中等48．9％,差25．2％;中等水平集中在饮食、药物、低血糖管理;管理水平差主要反映在运动、血糖监测、糖尿病足管理。Spearman’rho分析显示：焦虑抑郁水平与自我管理总分、饮食管理、低血糖管理和病足管理呈负相关。结论 需要高度重视2型糖尿病患者心理健康与自我管理之间的联系,制定和实施干预措施,有利于提高2型糖尿病患者的心理健康水平。

Study on the Correlation Between Psychological Health Level and Self-Management in Patients with Type 2 Diabetes Mellitus

Objective To study the correlation between the psychological health level and self-management in patients with type-2 diabetes mellitus.Methods One hundred and ninety eight outpatients with diabetes mellitus were questionnaired and the data on their hospital anxiety and depression scale (HAD), self-management scale and basic information questionnaire were evaluated.Results The investigation showed 25.8 percent of the 198 patients with type 2 diabetes suffered from depression,14.1 percent of them had anxiety, and 8 percent had both depression and anxiety. The percentage of good, moderate and bad total scores for self-management was 25.7%,48.9% and 25.2% respectively. Their diet,drug and hypoglycemia management were usually at a moderate level while their exercise,blood glucose monitoring and diabetic foot management were at bad level. Spearman'rho analysis showed that the level of anxiety and depression were negatively correlated with the total scores of self-management,diet management,hypoglycemia management,sick-foot management.Conclusion Great attention should be given to the psychological health in patients with type 2 diabetes mellitus as it has much to do with self-management and integrateol interventional measures should be taken to prevent anxiety or depression.