摘要
目的:了解首次接受胰岛素治疗的2型糖尿病病人对胰岛素的认识及焦虑情况调查,找出其存在的问题,为临床心理护理、健康教育提供参考依据。方法:对156名首次接受胰岛素治疗的2型糖尿病患者用焦虑自评量表(SAS)及问卷形式调查胰岛素治疗相关知识的认识,并用SPSSⅡ10.0统计软件进行统计分析。结果:2型糖尿病病人焦虑总分与国内正常常模比较,差异有统计学意义(P<0.01),不同年龄,不同文化程度,不同付费间对2型糖尿病病人的焦虑得分差别有统计学意义(P<0.05),51%患者对胰岛素缺乏基本认识,认为胰岛素治疗意味着病情加重;63%患者不愿意一辈子都打针,对胰岛素注射表示担忧;近30%患者认为注射胰岛素影响社交。结论:首次接受胰岛素治疗的2型糖尿病病人普遍具有不同程度的焦虑情绪,充分认识到首次接受胰岛素治疗对糖尿病患者的心理影响,消除患者对胰岛素治疗的误解,及早接受胰岛素治疗,提高胰岛素治疗的依从性。
Objective：To investigate the cognition and anxious state of the type 2 diabetes mellitus accepted insulin-treatment for the first time,and offer reference for clinical mental nursing and healthy education. Methods： Use SAS （self-rating anxiety scale） and questionnaire to investigate the cognition of 156 type 2 diabetes mellitus for insulin-treatment at the first time,collect SAS score of different groups from basic understanding for insulin, worry of insulin injection treatment,and influence of their social communication. the statistics and analysis is done by SPSSⅡ10.0. Results： Anxiety score of type 2 diabetes mellitus compared with internal normal norm,the difference has statistical significance. Anxiety score compared in different age,culture degree,and medical cost,the difference has also statistical significance. 51%patients think insulin-treatment means aggravation of pathogenetic condition. 63% patients worry and don’t want injection of insulin. 36% patients think injection of insulin influence their social communication. Conclusion： Type 2 diabetes mellitus who accept insulin-treatment for the first time, have anxiety symptom at different levels. Recognizing the psychological state of every diabetes mellitus for insulin-treatment, will provide some help to clinical management. To insulin-treatment, it is very necessary to strengthen psychological education and eliminate misunderstand of the patients. The patients can accept insulin-treatment protocols early and correctly.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2009年第9期1257-1259,共3页
Journal of Chongqing Medical University
关键词
糖尿病
胰岛素治疗
调查
Diabetes Insulin-treatment Investigation
