2型糖尿病患者的糖尿病痛苦现状调查及影响因素分析

目的 了解目前2型糖尿病患者的糖尿病痛苦现状,并分析其影响因素。 方法 选取2019年5月—2020年1月蚌埠医学院第一附属医院收治的2型糖尿病患者200例作为研究对象,使用糖尿病痛苦量表、一般资料问卷对患者的家庭人均月收入、病程、文化程度、是否患有并发症、年龄、性别、职业、婚姻状态、医疗费用支付方式等因素进行统计分析。 结果 问卷共发放200份,有效回收问卷为200份。年龄45岁以下87例,45~65岁113例;文化程度初中及以下88例,高中及中专75例,大学及以上37例;家庭人均月收入3 000元及以下98例,3 000元以上102例;病程5年以下66例,5~10年70例,10年以上64例;有并发症132例,无并发症68例。200例研究对象中,超过半数的患者(55.41%)存在程度不等的糖尿病痛苦(糖尿病痛苦均分≥2分);本次调查中糖尿病痛苦得分为(2.600±1.040)分,处于糖尿病痛苦的中等水平。糖尿病患者的糖尿病痛苦在年龄、家庭人均月收入、病程、文化程度以及是否患有并发症方面比较差异有统计学意义(均P<0.05);家庭人均月收入、病程、文化程度以及是否患有并发症是患者糖尿病患者心理痛苦得分的影响因素(均P<0.05)。 结论 2型糖尿病患者存在程度不等的糖尿病痛苦,家庭人均月收入、病程、文化程度以及是否患有并发症是糖尿病痛苦的影响因素。 

Investigation and analysis of influencing factors of diabetes distress in type 2 diabetic patients

Objective To understand the current status of diabetes pain in type 2 diabetes patients and analyze its influencing factors. Methods A total of 200 cases of patients with type 2 diabetes in the First Affiliated Hospital of Bengbu Medical College were chosen as the research object. The diabetes patients pain scale, general information questionnaire family per capita income, course, cultural degree, whether suffering from complications, age, sex, occupation, marital status, medical expense payment factors were analyzed. Results A total of 200 questionnaires were issued, 200 of which were valid. There were 87 cases under 45 years of age and 113 cases between 45 and 65 years of age. There were 88 cases with junior high school education or below, 75 cases with senior high school and technical secondary school education, and 37 cases with university education or above. There were 98 cases with a per capita monthly income of 3 000 yuan or less, and 102 cases with a per capita monthly income of 3,000 yuan or more. There were 66 patients with the course of disease less than 5 years, 70 patients with 5-10 years, and 64 patients with the course of disease more than 10 years. There were 132 cases with complications, and 68 cases without complications. Among the 200 subjects, more than half of the patients(55.41%) had diabetes pain of varying degrees(average score of diabetes pain≥2). In this survey, the pain score of diabetes was(2.600±1.040), which was in the middle level of the pain of diabetes. There were statistically significant differences in the average monthly income, course of disease, educational level and complications of diabetic patients(all P<0.05). Family per capita monthly income, course of disease, educational level and complications were the influencing factors of psychological distress score of patients with diabetes(all P<0.05). Conclusion Patients with type 2 diabetes have varying degrees of diabetes pain, and monthly income per family, course of disease, educational level and complications are the influencing factors of diabetes pain.