首页|负性情绪在青少年1型糖尿病患者社会支持与自我管理的中介效应

负性情绪在青少年1型糖尿病患者社会支持与自我管理的中介效应

扫码查看
目的 探讨青少年1型糖尿病(T1DM)患者社会支持、糖尿病相关负性情绪及自我管理的相关性,分析糖尿病相关负性情绪在社会支持与自我管理的中介作用.方法 采用方便抽样法,应用青少年社会支持量表、糖尿病问题量表、青少年T1DM自我管理量表对2019年4月至2022年12月宁波市妇女儿童医院208例13~18周岁青少年T1DM患者进行调查.结果 青少年T1DM患者社会支持、自我管理得分分别为58.00(49.00,68.00)分、78.50(61.00,91.00)分,糖尿病相关负性情绪得分为(47.14±21.59)分,有64.9%的患者有糖尿病相关负性情绪.社会支持与自我管理呈正相关(r=0.630,P<0.01),糖尿病相关负性情绪与社会支持(r=-0.688,P<0.01)、自我管理(r=-0.753,P<0.01)均呈负相关.糖尿病相关负性情绪在社会支持和自我管理的中介效应占比为66.25%.结论 糖尿病相关负性情绪在社会支持与自我管理起部分中介作用,医护人员、父母、教育工作者应关注患者糖尿病相关的负性情绪,及时给予相应的情感支持、人际关系支持等社会支持,从而改善其负性情绪,提高疾病自我管理能力.
Objective To explore the relationship between social support,diabetes-related negative emotions and self-management in adolescents with type 1 diabetes mellitus(T1DM),and analyze the mediating effect of diabetes-related negative emotions on social support and self-management.Methods Used the convenient sampling method,208 patients with T1DM who were 13 to 18 years old in the outpatient department of children's endocrinology of a third grade A children's hospital in a city from April 2019 to December 2022 were investigated with the Adolescent Social Support Scale,the Diabetes Problem Scale,and the Adolescent T1DM Self-Management Scale.Results The scores of social support and self-management of adolescents with T1DM were 58.00(49.00,68.00)and 78.50(61.00,91.00),respectively.The score of diabetes-related negative emotions was(47.14±21.59).There was a positive correlation between social support and self-management(r=0.630,P<0.01),and a negative correlation between diabetes-related negative emotions(r=-0.688,P<0.01)and social support and self-management(r=-0.753,P<0.01).The mediating effect of diabetes-related negative emotions on social support and self-management accounted for 66.25%.Conclusion Negative emotions of diabetes play a part of mediating role between social support and self-management.Medical workers,parents,and educational worker should pay attention to patients'diabetes-related negative emotions,and give corresponding social support and intervention in time,so as to improve their negative emotions and improve their ability of disease self-management.

AdolescentType 1 diabetes mellitusSocial supportNegative emotionSelf-management

何鸯鸯、薛飞、汪亚波、胡丹丹

展开 >

315012 宁波市妇女儿童医院

青少年 1型糖尿病 社会支持 负性情绪 自我管理

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(1)
  • 6