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老年糖尿病患者自我感受负担现状及影响因素分析

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目的 调查老年糖尿病患者自我感受负担现状,并分析其影响因素。方法 2023年1月—6月,采用方便抽样法选取山东省2所三级甲等医院就诊的134例老年糖尿病患者,运用一般资料调查表、自我感受负担量表(SPBS)及社会支持评定量表(SSRS)对134例老年糖尿病患者进行问卷调查,采用t检验、单因素方差分析及多元线性逐步回归分析老年糖尿病患者自我感受负担的影响因素。结果 老年糖尿病患者自我感受负担得分为(25。34±10。59)分,身体负担维度得分为(4。95±2。13)分,经济负担维度得分为(5。29±2。40)分,情感负担维度得分为(15。10±6。68)分;无明显自我感受负担者39例(29。10%),轻度自我感受负担者49例(36。57%),中度自我感受负担者33例(24。63%),重度自我感受负担者13例(9。70%)。多元线性逐步回归分析结果显示,月收入情况、病程、主要照顾者健康状况及社会支持是老年糖尿病患者自我感受负担的影响因素(调整后R2=0。444,F=22。200,P<0。001)。结论 老年糖尿病患者自我感受负担处于轻中度水平,医护人员应关注经济压力大、病程长及照顾者健康状况差的老年糖尿病患者,为其制定针对性、有效的干预方案,改善患者的自我感受负担水平,进而降低心理因素对疾病的影响。
Analysis of the status quo and influencing factors of self-perceived burden in elderly patients with diabetes
Objective To investigate the self-perceived burden of elderly patients with diabetes and analyze its influ-encing factors.Methods From January 2023 to June 2023,134 elderly patients with diabetes were selected by conve-nient sampling from two tertiary hospitals in Shandong Province.A total of 134 elderly patients with diabetes were investi-gated by the general information questionnaire,the Self-Perceived Burden Scale(SPBS)and the Scale of Social Support(SSRS).T-test,one-way anova and multiple linear stepwise regression were used to analyze the influencing factors of self-perceived burden in elderly patients with diabetes.Results The elderly patients with diabetes had a score of 25.34±10.59 for self-perceived burden,4.95±2.13 for physical burden,5.29±2.40 for economic burden,and 15.10±6.68 for emotional burden.There were 39 cases(29.10%)without obvious self-perceived burden,49 cases(36.57%)with mild self-perceived burden,33 cases(24.63%)with moderate self-perceived burden,and 13 cases(9.70%)with severe self-perceived burden.The results of multiple linear stepwise regression analysis showed that monthly income,course of disease,health status of main caregivers and social support were the influencing factors of self-perceived burden of elderly diabetes patient(adjusted R2=0.444,F=22.200,P<0.001).Conclusion The self-perceived burden of elder-ly diabetes patients is at a moderate level,which suggests that medical staff should pay attention to elderly diabetes pa-tients with high economic pressure,long course of disease and poor health status of caregivers,develop targeted and effec-tive intervention programs for them,improve the level of self-perceived burden of patients,and then reduce the impact of psychological factors on the disease.

diabetesself-perceived burdensocial supportelderlyeconomic pressurecaregiver's health status

陈迎新、张娟

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山东第一医科大学附属省立医院全科医学科,山东济南 250000

糖尿病 自我感受负担 社会支持 老年人 经济压力 照顾者健康状况

2024

老年医学研究

老年医学研究

ISSN:
年,卷(期):2024.5(2)
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