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目的 :调查糖尿病患者的心理痛苦状况及其与应对方式的相关性。方法 :运用一般资料调查表、糖尿病痛苦量表(DDS)与医学应对方式问卷(MCMQ)对扬州市3个社区共200名糖尿病患者进行问卷调查。结果 :60.0%的糖尿病患者存在糖尿病痛苦,其中,重度痛苦的患者占11.5%。在糖尿病痛苦各维度得分中,生活规律相关痛苦得分最高(3.10±1.17)。应对方式得分由高至低分别是屈服、回避和面对。其中,面对因子与糖尿病痛苦水平呈负相关(P<0.05),屈服因子、回避因子与糖尿病痛苦水平呈正相关(P<0.05)。结论 :糖尿病患者普遍存在心理痛苦,且与应对方式密切相关,临床及社区的护理人员应注重评估患者的心理痛苦状况及应对方式,加强患者的心理护理,鼓励患者采用积极的应对方式面对疾病,提高患者的生活质量。
Objective: To investigate the state of psychological distress in diabetic patients and its correlation with coping style. Methods: A total of 200 diabetic patients in 3 communities in Yangzhou City were surveyed by questionnaires of general information questionnaire, Diabetic pain scale (DDS) and medical coping style questionnaire (MCMQ). Results: Sixty percent of people with diabetes experienced diabetes mellitus, with 11.5% of those with severe pain. Among all the dimensions of diabetes pain, the law of life-related pain scores the highest (3.10 ± 1.17). Coping style scores from high to low are yield, avoid and face. Among them, the face-to-face factor was negatively correlated with the level of diabetes mellitus (P <0.05). The yield factors and avoidance factors were positively correlated with the level of diabetes mellitus (P <0.05). Conclusion: There is a general psychological distress in patients with diabetes and is closely related to the coping style. Clinical and community nurses should pay attention to assessing patients’ psychological pain and coping styles, strengthen their psychological nursing and encourage patients to adopt positive coping strategies to face the disease , Improve the quality of life of patients.