2型糖尿病患者反刍思维状况及其影响因素

目的 调查2型糖尿病患者反刍思维状况,分析其影响因素.方法 采用横断面研究方法,方便抽样,问卷调查,选取2019年4月至2019年5月北京朝阳医院门诊2型糖尿病患者223例,运用匹兹堡睡眠质量指数量表(PSQI)、糖尿病痛苦量表(DDS)、心理弹性量表(CD-RISC)及反刍思维量表(RRS),分别评定患者睡眠、糖尿病...

Rumination response and its influencing factor in patients with type 2 diabetes mellitus

Objective To investigate the rumination response of patients with type 2 diabetes mellitus(T2 DM)and to analyze its influencing factors.Methods The cross-sectional research method,convenient sampling and questionnaire survey were used in the research.A total of 223 patients with T2 DM in Beijing Chaoyang Hospital from April 2019 to May 2019 were selected.Pittsburgh sleep quality index(PSQI),diabetes distress scale(DDS),Connor-Davidson resilience scale(CD-RISC)and ruminative responses scale(RRS)were used to evaluate the sleep,diabetic pain,resilience and rumination responses respectively.Results There were 188 patients(84.3%)with low rumination level,27 patients(12.1%)with medium rumination level and 8 patients(3.6%)with high rumination level.Univariate analysis showed that the RRS score of patients was higher in women,age>35 years,senior high school/technical secondary school or below,family per capita monthly income≤10000 yuan,course of disease≤15 years,fasting blood glucose≥10 mmol/L,sleep disorder,moderate or severe diabetic pain,and low resilience(P<0.05,P<0.01).Multivariate Logistic regression analysis showed that low education level(P=0.046),high fasting blood glucose(P=0.022)and poor sleep condition(P=0.010)were the independent influencing factors of high level rumination response state.Conclusions The medium and high level of rumination response in patients with T2 DM is 15.7%,which needs the attention and intervention of medical staff.Rumination response in patients with T2 DM is affected by many factors,especially education level,fasting blood glucose and sleep status.