| 刘安诺.糖尿病患者心理痛苦与情绪调节策略、应对方式的关系研究[J].上海护理,2020,20(3): |
| 糖尿病患者心理痛苦与情绪调节策略、应对方式的关系研究 |
| Relation Among Psychological Distress, Emotion Regulation Strategy and Coping Style in Diabetic Patients |
| DOI： |
| 中文关键词: 糖尿病 心理痛苦 情绪调节策略 应对方式 |
| 英文关键词:diabetes mellitus psychological distress emotion regulation strategy coping style |
| 基金项目:2018年安徽省自然科学基金(1808085MH277)；2019年安徽省高校人文社会科学基金 |
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| 中文摘要: |
| 目的 探讨糖尿病患者心理痛苦与情绪调节策略、应对方式之间的关系。方法 采用目的抽样法,运用情绪调节问卷、医学应对方式问卷和糖尿病心理痛苦量表对202例住院糖尿病患者进行调查。 结果 糖尿病患者心理痛苦总分为(32.82±1.54)分,单因素分析结果显示病程≤5年的患者糖尿病心理痛苦得分高于病程＞5年的患者[(34.22±8.10) vs (31.71±6.91), P＜0.05],不规律体育锻炼的患者糖尿病心理痛苦得分高于规律体育锻炼[(34.56±7.10) vs (30.77±7.57), P＜0.05]；糖尿病心理痛苦与认知重评、面对应对、回避应对呈负相关(r =-0.386、-0.443、-0.140,P＜0.01),与表达抑制、屈服应对呈正相关(r =0.500、0.522,P＜0.01)。多元线性回归显示认知重评、面对应对、回避应对能正向预测糖尿病心理痛苦程度(P＜0.01),表达抑制、屈服应对负向预测糖尿病心理痛苦程度(P＜0.01),应对方式与情绪调节策略能解释糖尿病心理痛苦的50.3%。结论 病程较短及不能规律锻炼的患者糖尿病心理痛苦程度较高。情绪调节策略和应对方式是影响糖尿病心理痛苦的重要因素。医务人员在临床进行健康宣教时应重点关注短病程及不能做到规律锻炼这类人群的心理状况,并重点给予心理辅导,同时鼓励患者多采取认知重评策略及积极应对方式以减少疾病给患者带来的心理困扰。 |
| 英文摘要: |
| objective To explore the relation of psychological distress to self-efficacy and coping style in patients with diabetes. Methods 202 patients with diabetes mellitus were enrolled according to the inclusion criteria, completed Medical Coping Modes Questionnaire, Emotion Regulation Questionnaire and Diabetes Distress Scale. Results The scores of psychological distress were (32.82±1.54), Single factor analysis results show that the course of five years or less of patients with diabetes patients with psychological distress scores higher than that of course > 5 years[(34.22±8.10) vs (31.71±6.91), P＜0.05], not regular physical exercise in patients with diabetes psychological distress scores higher than regular physical exercise[(34.56±7.10) vs (30.77±7.57), P＜0.05]. The psychological distress of diabetes is negatively correlated with cognitive reappraisal, confrontation coping style and avoidance coping style(r =-0.386,-0.443,-0.140,P＜0.01),and positively correlated with the expressive suppression and resignation coping style(r =0.500,0.522,P＜0.01). Multivariate linear regression analysis showed that cognitive reappraisal, coping and avoidance coping could positively predict the psychological distress of diabetes; expressive suppression and resignation coping style have negative predictive effects on the psychological distress of diabetes(P＜0.01). Coping style and emotion regulation strategy can explain 50.3% of the psychological dietress of diabetes. Conclusion Patients with short course and inability to exercising regularly have higher psychological pain; Emotion Regulation Strategy and copy style are important factors influencing the psychological distress of diabetes. Staff in the clinical health education should focus on psychological condition of the people who have short duration and can’t do regular exercise and give key psychological counseling. At the same time, patients are encouraged to adopt more cognitive reappraisal strategies and active coping strategies to reduce the psychological distress caused by the disease. |
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