摘要
目的 了解2型糖尿病患者失志现状,并探讨其影响因素.为后续临床干预提供理论依据.方法 采用便利抽样法,选取2023年10月—2024年3月于安徽省某三级甲等医院住院的2型糖尿病患者作为调查对象.采用一般资料调查表、中文版失志综合征量表Ⅱ、糖尿病自我管理行为量表、中文版心理弹性量表、社会支持评定量表、医学应对方式问卷和匹兹堡睡眠质量指数量表进行调查.分析2型糖尿病患者失志程度的影响因素.结果 调查对象中文版失志综合征量表Ⅱ得分为(13.31±7.04)分,其中中度失志人数占比为40.77％,重度失志人数占比为21.25％.不同性别、年龄、文化程度、婚姻状况、职业、家庭人均月收入、医保参保情况、糖尿病病程、糖尿病并发症、既往病史、近1年低血糖史、日均服药数量、身体质量指数的调查对象中文版失志综合征量表Ⅱ得分比较,差异均有统计学意义(P＜0.05).回归分析结果表明,社会支持、面对和屈服的医学应对方式、心理弹性、睡眠质量、糖尿病病程、文化程度是2型糖尿病患者失志程度的影响因素(P＜0.05).结论 2型糖尿病患者失志程度处于中等水平,医护人员应重视糖尿病病程＜1年及文化程度较低的患者,并为其制订个性化的干预策略及延续性护理方案,以改善患者失志现状.
Abstract
Objective To understand the current status of burnout in patients with type 2 diabetes and to explore its influen-cing factors,providing a theoretical basis for subsequent clinical interventions.Methods Convenience sampling was used to select patients with type 2 diabetes hospitalized in a grade A tertiary hospital in Anhui Province from October 2023 to March 2024 as the participants of the survey.A general information questionnaire,the Chinese version of the Burnout Syndrome Scale Ⅱ,the Diabetes Self-Management Behavior Scale,the Chinese version of the Psychological Resilience Scale,the Social Support Rating Scale,the Medical Coping Modes Questionnaire,and the Pittsburgh Sleep Quality Index Scale were used for the survey.The influencing factors of burnout in patients with type 2 diabetes were analyzed.Results The score of the Chi-nese version of the Burnout Syndrome Scale Ⅱ for the surveyed participants was(13.31±7.04)points,with 40.77％of the participants having moderate burnout and 21.25％having severe burnout.Statistically significant differences were noted in the scores of the Chinese version of the Burnout Syndrome Scale Ⅱ among the surveyed participants with different genders,ages,educational levels,marital statuses,occupations,family average monthly income,medical insurance participation,du-ration of diabetes,diabetes complications,past medical history,history of hypoglycemia in the past year,average daily medication intake,and body mass index(P＜0.05).Regression analysis results indicated that social support,confrontation and resignation medical coping styles,psychological resilience,sleep quality,duration of diabetes,and educational level are influencing factors of burnout in patients with type 2 diabetes(P＜0.05).Conclusion The level of burnout in patients with type 2 diabetes remains moderate.Medical staff should pay attention to patients with a diabetes duration of less than 1 year and those with lower educational levels,and develop personalized intervention strategies and continuous nursing plans for them to improve their level of burnout.
维普
万方数据