摘要
目的 了解糖尿病患者的正念水平、健康行为和应对方式,并分析正念水平的影响因素,为优化糖尿病患者健康管理策略提供思路.方法 采用一般资料调查表、正念注意觉知量表(MAAS)、健康促进生活方式量表(HPLP-Ⅱ)和医学应对方式量表(MCMQ)对93例2型糖尿病患者进行调查,分析影响糖尿病患者正念水平的相关因素及其与健康行为和应对方式的关系.结果 93例糖尿病患者MAAS总分为(45.63±10.5)分,其中正念水平良好(A组)58 例(62.4%),正念水平较差(B组)35例(37.6%).A组的HPLP-Ⅱ总分和各维度评分以及MCMQ中面对维度评分均高于B组,MCMQ总分及回避、屈服维度评分均低于B组,差异均有统计学意义(均P<0.05).单因素和多因素Logistic回归分析结果显示,家庭人均月收入、病程、有无糖尿病并发症是糖尿病患者正念水平的主要影响因素(均P<0.05).Pearson相关分析显示,MAAS评分与HPLP-Ⅱ各维度评分及MCMQ中面对维度评分均呈正相关(均P<0.05),与MC-MQ中回避和屈服维度评分呈负相关(r=-0.495、-0.399,均P<0.05).结论 糖尿病患者的正念水平有待改善,尤其关注家庭人均月收入低、有糖尿病并发症、病程>5年、健康行为较差和消极应对的患者群体.
Abstract
Objective To understand the levels of mindfulness,health behaviors,and coping strategies among patients with diabetes,and to analyze the factors influencing mindfulness levels,thereby providing insights for optimizing health management strategies for patients with diabetes.Methods A survey was conducted on 93 patients with type 2 diabetes using a general information questionnaire,the mindful attention awareness scale(MAAS),the health promotion lifestyle profile(HPLP-Ⅱ),and the medical coping modes questionnaire(MCMQ).The analysis aimed to identify the factors influencing the mindfulness levels of patients with diabetes and to examine the relationship between mindfulness levels,health behaviors,and coping strategies.Results A total of 93 patients with type 2 diabetes had a total MAAS score of(45.63±10.5)points.Among them,58 patients(62.4%)were categorized as having good mindfulness levels(Group A),and35 patients(37.6%)as having poor mindfulness levels(Group B).The total score and dimension scores of health promoting lifestyle profile-Ⅱ(HPLP-Ⅱ)and the scores of the coping dimension in the medical coping modes questionnaire(MCMQ)were higher in Group A than in Group B.Conversely,the total MCMQ score and the scores for the avoidance and compliance dimensions were significantly lower in group A than in group B,with all differences being statistically significant(all P<0.05).Univariate and multivariate Logistic regression analyses indicated that per capita monthly household income,disease duration,and the presence of diabetes-related complications are significant factors influencing the mindfulness levels of diabetic patients(all P<0.05).Pearson correlation analysis revealed that MAAS scores were positively correlated with scores on all dimensions of the HPLP-Ⅱ and the confrontation score of the MCMQ(all P<0.05),and negatively correlated with the avoidance and resignation scores of the MCMQ(r=-0.495 and r=-0.399,respectively,all P<0.05).Conclusions Diabetes patients'levels of mindfulness require improvement,with particular attention needed for patient groups with low per capita monthly household income,diabetes-related complications,disease duration greater than 5 years,poor health behaviors,and negative coping strategies.
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