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[目的]了解2型糖尿病患者心理控制源状况,为改善患者心理健康提供依据。[方法]运用一般情况调查表,多维度健康心理控制源量表(MHLC)、ZUNG自评抑郁量表(SDS)和自评焦虑量表(SAS)对240例2型糖尿病患者进行调查。[结果]①糖尿病患者心理控制源内控分值低于常模(P﹤0.01),有势力他人和机遇分值高于常模(P﹤0.01)。②不同年龄、文化程度心理控制源倾向不同。③有情绪障碍与无情绪障碍患者之间的心理控制源差异有统计学意义(P﹤0.05或P﹤0.01)[结论]2型糖尿病患者有势力他人和机遇心理控制源倾向明显。文化程度、年龄、情绪障碍影响患者心理控制源。医护人员应重视这些因素,在医疗护理过程中帮助患者调节心理控制源、改善不良情绪,提高生活质量。
[Objective] To understand the state of mental control source in patients with type 2 diabetes and provide basis for improving mental health of patients. [Methods] 240 cases of type 2 diabetes mellitus were investigated by using the General Survey, MHLC, SDS and SAS. [Results] ① The internal control scores of psychological control source in diabetic patients were lower than those in the norm (P <0.01), others in power and chance scores were higher than those in the norm (P <0.01). ② different age and education levels of psychological control of different sources. (3) There was significant difference in the psychological control source between patients with mood disorders and those without mood disorders (P <0.05 or P <0.01). [Conclusion] Patients with type 2 diabetes have obvious tendency of having other people and opportunities of psychological control. Degree of education, age, mood disorders affect the source of psychological control in patients. Health care workers should pay attention to these factors in the medical care process to help patients adjust the source of psychological control, improve bad feelings and improve the quality of life.