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目的了解糖尿病及其合并视网膜病变患者的特质应对方式及其影响因素。方法采用特质应对方式问卷(TCSQ)和自编的基本情况问卷对51例正常对照者和331例糖尿病及其合并视网膜病变者进行调查。了解患者特质应对得分情况,通过广义线性回归分析其影响因素。结果糖尿病及其合并视网膜病变者消极应对得分均高于正常对照者(P<0.05)。广义线性回归分析显示,年龄越大、文化程度和家庭人均月收入越高、病情越轻的患者易采取积极应对(P均<0.05);年龄越小、文化程度和家庭人均月收入越低、病情越重的患者则倾向于采取消极应对(P均<0.05)。结论年龄、文化程度、家庭人均月收入、病情是影响患者特质应对的主要因素。应根据患者的不同特点,有针对性地指导其积极应对疾病,从而提高生存质量。
Objective To understand the characteristics of coping style and its influencing factors in patients with diabetes mellitus and its associated retinopathy. Methods Fifty-one normal controls and 331 patients with diabetes mellitus and their retinopathy were investigated by questionnaire (TCSQ) and self-compiled questionnaire. Understand the characteristics of patients respond to scores, generalized linear regression analysis of its influencing factors. Results The scores of negative coping in diabetic patients with retinopathy were higher than those in normal controls (P <0.05). The generalized linear regression analysis showed that the higher the age, the higher the educational level and the monthly income per capita of the family, the easier the patients to take positive coping (P <0.05). The younger, the lower the educational level and the average monthly income of the family, Patients who were more aggressive tended to adopt negative coping strategies (all P <0.05). Conclusion Age, educational level, per capita monthly household income, and illness are the main factors that affect the trait response of patients. Should be based on the different characteristics of patients, targeted to guide their active response to disease, thereby enhancing the quality of life.