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目的 了解糖尿病患者的焦虑状况 ,了解焦虑情绪对糖尿病患者糖代谢的影响。方法 病例组 (186例 ) ,对照组(10 0例 )均进行状态 特质焦虑评定 ,且病例组于住院第二天抽取静脉血测定空腹血糖、餐后两小时血糖以及糖化血红蛋白水平。结果 病例组与对照组比较结果显示两组在状态焦虑水平上无显著性差异 ,病例组的特质焦虑水平明显高于对照组 ;病例组组内分析结果表明患者的状态焦虑水平与性别、职业显著相关 ,特质焦虑与糖化血红蛋白水平及职业显著相关 ;高特质焦虑患者的糖化血红蛋白水平明显高于低特质焦虑水平患者的糖化血红蛋白水平。结论 本研究结果提示糖尿病患者的特质焦虑水平高于一般人群的特质焦虑水平 ;特质焦虑水平的高低可能在糖尿病患者的糖代谢控制中起着较为重要的作用。
Objective To understand the anxiety status of diabetic patients and to understand the effect of anxiety on glucose metabolism in diabetic patients. Methods A total of 186 patients in the control group and 100 patients in the control group were assessed for state trait anxiety. Blood samples were collected from the patients on the second day of hospitalization for fasting plasma glucose, two hours postprandial blood glucose and glycosylated hemoglobin. Results The results of case group and control group showed that there was no significant difference in state anxiety between the two groups, and the level of trait anxiety in case group was significantly higher than that in control group. The intra-group analysis showed that the level of state anxiety and gender, Related trait anxiety and glycated hemoglobin level and occupation were significantly related to high trait anxiety patients with glycosylated hemoglobin levels were significantly higher than low trait anxiety levels in patients with glycosylated hemoglobin levels. Conclusion The results of this study suggest that trait anxiety in diabetic patients is higher than trait anxiety in general population. The level of trait anxiety may play an important role in glycometabolism control in diabetic patients.