[1]幸维炜,周佩如,杨青,等.糖尿病患者病耻感与心理性胰岛素抵抗的现状及其影响因素[J].解放军护理杂志,2021,38(06):22-26.[doi:10.3969/j.issn.1008-9993.2021.06.006]
 XING Weiwei,ZHOU Peiru,YANG Qing,et al.Status Quo of the Relationship between Stigma and Psychological Insulin Resistance in Diabetics and Its Influencing Factors[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(06):22-26.[doi:10.3969/j.issn.1008-9993.2021.06.006]
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糖尿病患者病耻感与心理性胰岛素抵抗的现状及其影响因素()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年06期
页码:
22-26
栏目:
研究荟萃
出版日期:
2021-06-15

文章信息/Info

Title:
Status Quo of the Relationship between Stigma and Psychological Insulin Resistance in Diabetics and Its Influencing Factors
文章编号:
1008-9993(2021)06-0022-05
作者:
幸维炜1周佩如2杨青1梁淑茵1罗燕芬1
1.南方医科大学珠江医院 神经肿瘤科,广东 广州 510280; 2.暨南大学附属第一医院 健康管理科,广东 广州 510630
Author(s):
XING Weiwei1ZHOU Peiru2YANG Qing1LIANG Shuyin1LUO Yanfen1
1.Department of Neuro-Oncology,Zhujiang Hospital,Southern Medical University,Guangzhou 510280, Guangdong Province,China; 2.Department of Health Management,The First Affiliated Hospital of Ji’nan University,Guangzhou 510630,Guangdong Province,China
关键词:
糖尿病 心理性胰岛素抵抗 病耻感 健康教育
Keywords:
diabetes psychological insulin resistance stigma health education
分类号:
R473.58
DOI:
10.3969/j.issn.1008-9993.2021.06.006
文献标志码:
A
摘要:
目的 探讨糖尿病患者病耻感与心理性胰岛素抵抗的现状及其影响因素。方法 2019年2-10月,便利抽样法选取广州市某三级甲等医院住院糖尿病患者170例为研究对象,采用一般资料调查表、慢性疾病患者病耻感评估量表和胰岛素治疗评估量表对其进行调查。结果 糖尿病患者的病耻感得分为(53.38±24.05)分,心理性胰岛素抵抗得分为(63.25±14.79)分。糖尿病患者病耻感水平与心理性胰岛素抵抗呈正相关(P<0.01),多元回归分析显示,病耻感水平、性别、病程、治疗方式、是否接受糖尿病相关教育是糖尿病患者心理性胰岛素抵抗的影响因素(均P<0.05),共解释回归方程总变异的39.1%。结论 糖尿病患者病耻感水平越高,心理性胰岛素抵抗程度越重。医护人员应加强患者的病耻感评估,降低病耻感水平,改善胰岛素治疗态度。
Abstract:
Objective To investigate the status quo and influence factors of stigma and psychological insulin resistance in diabetics.Methods 170 diabetics from a tertiary hospital in Guangzhou were selected by convenience sampling method and were investigated by the general information questionnaire,chronic disease patient stigma assessment scale and insulin treatment assessment scale.Results The total score of stigma and psychological insulin resistance were(53.38±24.05)and(63.25±14.79)respectivly.The stigma level was positively correlated with psychological insulin resistance(P<0.01).And the results of multiple regression analysis showed that the level of stigma,gender,course of disease,treatment methods,and whether to receive diabetes-related education were the influencing factors of diabetics’ psychological insulin resistance.Factors accounted for 39.1% of the total variation of the regression equation.Conclusions The higher the stigma level of diabetics,the more severe the psychological insulin resistance.Medical staff should strengthen the patients’ stigma assessment,reduce the level of stigma,and improve insulin treatment attitude.

参考文献/References:

[1] International Diabetes Federation.IDF diabetes atlas.9th ed.2019[EB/OL].[2020-05-25].https://www.diabetesatlas.org/upload/resources/2019/IDF_Atlas_9th_Edition_2019.pdf.
[2] LINK B G,PHELAN J C.Conceptualizing stigma[J].Annu Rev Sociol,2001(27):363-385.
[3] PEYROT M,RUBIN R R,LAURINZEN T,et al.Resistance to insulin therapy among patients and providers:results of the cross-national diabetes attitudes,wishes,and needs(DAWN)study[J].Diabetes Care,2005,28(11):2673-2679.
[4] JAACKS L M,LIU W,JI L,et al.Type 1 diabetes stigma in China:a call to end the devaluation of individuals living with a manageable chronic disease[J].Diabetes Res Clin Pract,2015,107(2):306-307.
[5] JHA S,PANDA M,KUMAR S,et al.Psychological insulin resistance in patients with type 2 diabetes[J].J Assoc Physicians India,2015(63):33-39.
[6] 钱荣立.关于糖尿病的新诊断标准与分型[J].中国糖尿病杂志,2000,8(1):5-6.
[7] RAO D,CHOI S W,VICTORSON D,et al.Measuring stigma across neurological conditions:the development of the stigma scale for chronic illness(SSCI)[J].Qual Life Res,2009,18(5):585-595.
[8] 邓翠玉,卢琦,赵岳.慢性病病耻感量表的汉化及其在脑卒中患者中的信效度研究[J].中国全科医学,2017,20(34):4304-4309.
[9] 杨婧,郭洪花,李敏香,等.糖尿病患者的病耻感现状及其影响因素[J].解放军护理杂志,2020,37(7):20-23,28.
[10]SNOEK F J,SKOVLUND S E,POUWER F.Development and validation of the insulin treatment appraisal scale(ITAS)in patients with type 2 diabetes[J/OL].[2020-05-10].https://hqlo.biomedcentral.com/articles/10.1186/1477-7525-5-69.
[11]LEE K P.Validity and reliability of the Chinese version of the insulin treatment appraisal scale among primary care patients in Hong Kong[J].Hong Kong Med J, 2016,22(4):306-313.
[12]CHEN C C,CHANG M P,HSIEH M H,HUANG C Y,et al.Evaluation of perception of insulin therapy among Chinese patients with type 2 diabetes mellitus[J].Diabetes Metab,2011,37(5):389-394.
[13]韦伟,张俊梅,王洁,等.2型糖尿病患者病耻感与抑郁和血糖控制的关系[J].护理学杂志,2020,35(12):75-78.
[14]The Australian Centre for Behavioural Research in Diabetes.Diabetes MILES-22016 surveyreport[R/OL].[2020-06-30].https://acbrd.org.au/wp-content/uploads/2018/06/C292_DV_miles-2_web_final.pdf.
[15]黄利宾.198例2型糖尿病患者病耻感现状及影响因素分析[J].护理学报,2019,26(18): 47-50.
[16]LIU N F,BROWN A S,YOUNGE M F,et al.Stigma in people with type 1 or type 2 diabetes[J].Clin Diabetes,2017,35(1):27-34.
[17]IRANI M D,ABDOLI S,BIJAN I,et al.Strategies to overcome type 1 diabetes-related social stigma in the Iranian society[J].Iran J Nurs Midwifery Res,2014,19(5):456-463.
[18]李燕,许翠萍,徐泽俊,等.糖尿病病人胰岛素治疗态度和满意度的相关性研究[J].护理研究:上旬版,2013,27(10):3104-3107.
[19]FU S N,WONG C K H,CHIN W Y,et al.Association of more negative attitude towards commencing insulin with lower glycosylated hemoglobin(HbA1c)level: a survey on insulin-naive type 2 diabetes mellitus Chinese patients[J/OL].[2020-04-20].https://link.springer.com/article/10.1186/s40200-016-0223-0.
[20]母义明,马敬东.全国20个省市2型糖尿病患者胰岛素心理抵抗因素及治疗中断情况的调查分析[J].药品评价,2013,10(1):43-46.
[21]HOLMES-TRUSCOTT E,SKINNER T C,POUWER F,et al.Explaining psychological insulin resistance in adults with non-insulin-treated type 2 diabetes:the roles of diabetes distress and current medication concerns.Results from Diabetes MILES-Australia[J].Prim Care Diabetes,2016,10(1):75-82.
[22]HOLMES-TRUSCOTT E,SKINNER T C,POUWER F,et al.Negative appraisals of insulin therapy are common among adults with type 2 diabetes using insulin:results from Diabetes MILES-Australia cross-sectional survey[J].Diabet Med,2015,32(10):1297-1303.
[23]POLONSKY W H,FISHER L,HESSLER D,et al.Identifying solutions to psychological insulin resistance:an international study[J].J Diabetes Complications,2019,33(4):307-314.
[24]HOLMES-TRUSCOTT E,BROWNE J L,VENTURA A D,et al.Short report:educational and psychological aspects diabetes stigma is associated with negative treatment appraisals among adults with insulin-treated type 2 diabetes:results from the second Diabetes MILES -Australia(MILES-2)survey[J].Diabet Med,2018,35(5):658-662.
[25]陈沁,丰青.中青年糖尿病患者病耻感的质性研究[J].解放军护理杂志,2018,35(23):12-16.

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备注/Memo

备注/Memo:
【 收稿日期 】 2020-10-25 【 修回日期 】 2021-04-26
【 基金项目 】 广东省科技计划项目(2017A020215127; 2017B 030308008)
【 作者简介 】 幸维炜,硕士,主管护师,从事慢性病护理研究
【 通信作者 】 周佩如,电话:020-38688363
更新日期/Last Update: 2021-06-15