摘要
目的通过对社区2型糖尿病患者自我效能与心理痛苦的水平及相关性分析,为制定干预对策提供参考依据。方法采用中文版糖尿病自我效能量表和中文版糖尿病痛苦量表,对某社区5个社区卫生站或服务中心的252例2型糖尿病患者进行调查,分析两者的水平及其相关性。结果本组患者的自我效能得分总均分8.25分,属中等偏上水平;糖尿病痛苦量表结果显示,患者因糖尿病导致的与生活规律相关痛苦维度、情感负担维度的表现较明显,其情感负担处于轻中度占29.4%,生活规律相关痛苦处于轻中度者占30.9%;心理痛苦总分及其4个维度得分与自我效能得分呈一定负相关(r=-0.430～-0.230,P<0.01)。结论社区2型糖尿病患者的自我效能属中等偏上水平,且自我效能水平越高则心理痛苦程度越轻。提示应侧重对患者加强糖尿病导致的与生活规律相关痛苦、情感方面痛苦的干预;提高患者控制血糖的自信心,以消除负面情绪。
Objective To analyze the correlation between self-efficacy and psychological distress of type 2 diabetes patients in communities and to provide reference for the intervention. Methods Self-efficacy Scale for Diabetes Mellitus Patients （Chinese version） and Diabetes Distress Scale （Chinese version） were applied to investigate 252 type 2 diabetes patients in five different community clinics and health service centers. Results Average score of self-efficacy was 8.25, which indicated their self-efficacy remained in upper or mediate level; there was obvious manifestation of pain related to life routine and emotional burden, both of which were caused by diabetes and self-efficacy of type 2 diabetes patients was negatively correlated to their psychological distress （r=-0.430--0.230, P〈0.01）. Conclusion There is negative correlation between self-efficacy and psychological distress of type 2 diabetes patients in communities. Psychological comfort is of importance in self-efficacy nursing of these patients by reducing their psychological distress, restoring their self-confidence in controlling blood sugar and eliminating their negative emotion.
出处
《护理学报》
2013年第9期67-69,共3页
Journal of Nursing（China）
基金
首都中医药及护理学研究专项课题(11ZYH10)
关键词
糖尿病
2型
社区护理
自我效能
心理痛苦
type 2 diabetes mellitus
community nursing
self-efficacy
psychological distress
作者简介
韩文苓（1971-），女，北京人，本科学历，主管护师。
[通讯作者]陈向韵（1960-），女，广东南海人，本科学历，副教授系主任。E-mail：chengxiangyun02@sohu．com
