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目的研究2型糖尿病痛性神经病变患者配偶的焦虑、抑郁情绪及和应对方式的关系。方法对50例2型糖尿病痛性神经病变患者的配偶进行量表测试,包括焦虑自评量表(SAS)、抑郁自评量表(SDS)、应对方式问卷(CSQ)。结果 2型糖尿病痛性神经病变患者配偶SAS评分(44.2±7.61)分高于常模(37.3±12.6)分,差异有统计学意义(P<0.05);按照SAS评分结果,将患者配偶分为研究组(SAS>50分)和对照组(SAS≤50分),比较两组间应对方式,研究组自责、幻想、退避的应对因子分(分别为0.29±0.09;0.58±0.12;0.69±0.21)高于对照组(分别为0.17±0.04;0.31±0.24;0.36±0.17),解决问题应对因子分(0.43±0.19)低于对照组(0.70±0.16),差异有统计学意义(P<0.05);以2型糖尿病痛性神经病变患者配偶的SAS评分为因变量,以各应对因子为自变量,进行多元线性回归,发现解决问题、幻想、退避的应对方式是影响焦虑情绪的主要因素,P<0.05。结论 2型糖尿病痛性神经病变患者的配偶存在明显的焦虑情绪,且和其不成熟型的应对方式有关。
Objective To investigate the relationship between anxiety, depression and coping style in spouses of type 2 diabetic patients with neuropathic pain. Methods Spouses of 50 patients with type 2 diabetic patients with neuropathic pain were scored, including self-rating anxiety scale (SAS), self-rating depression scale (SDS), and coping style questionnaire (CSQ). Results The spouse SAS score (44.2 ± 7.61) was higher than that of the normotensive (37.3 ± 12.6) points in type 2 diabetic patients with painful neuropathy, the difference was statistically significant (P <0.05). According to SAS score, the spouses were divided into (SAS> 50 points) and control group (SAS≤50 points). The coping style between the two groups was compared. The response factors of self-accusation, fantasy and avoidance in the study group were 0.29 ± 0.09, 0.58 ± 0.12 and 0.69 ± 0.21 ± 0.24; 0.36 ± 0.17 respectively), and the score of coping problems (0.43 ± 0.19) was lower than that of the control group (0.70 ± 0.16) (P < 0.05). SAS scores of spouses of type 2 diabetic patients with neuropathic pain were used as independent variables and multivariate linear regression was used as independent variables. It was found that the coping styles of solving problems, fantasies and retreats were the main factors affecting anxiety , P <0.05. Conclusion Spouses of patients with type 2 diabetic patients with neuropathic pain have obvious anxiety and are related to their immature type of coping style.