摘要
目的:探讨倦怠治疗对中青年男性2型糖尿病患者糖代谢控制及慢性并发症的影响。方法:采用国际通用的M aslach倦怠量表(MB I-GS)对284例患者进行倦怠治疗程度的调查,观察倦怠治疗对糖代谢控制及慢性并发症的影响。结果:284例中青年2型糖尿病患者倦怠治疗处于偏高水平,35.2%的患者存在一定程度的情绪耗竭,治疗依从性差,其中重度占12.7%,轻度占22.5%;23.6%的患者存在去人格化,其中重度占9.2%,轻度占14.4%;24.6%的患者缺乏工作成就感,其中重度占8.1%,轻度占16.5%;情绪衰竭和低成就感对糖代谢影响较显著,与正常组相比,轻、重度情感衰竭和低成就感患者血糖水平及GHbA1 c水平显著高于正常患者(P<0.05,P<0.01);而去人格化程度对糖代谢影响较小,仅在重度去人格化患者中血糖水平及GHbA1 c水平中有所升高(P<0.05);情绪衰竭和低成就感对糖尿病大血管和微血管并发症影响较显著(P<0.05);去人格化程度对糖尿病大血管和微血管并发症影响不显著。结论:中青年2型糖尿病患者倦怠治疗处于偏高水平,护理人员应采取有力措施做好健康教育,提高治疗依从性,预防中青年糖尿病患者倦怠治疗状态。
Objective： To discuss the influence of lassitude of young and middle-aged male patients with type 2 diabetes mellitus towards the treatment on the control of glucose metabolism and chronic complications.Methods： The international Maslach Burnout Inventory（MBI-GS） was used to conduct a questionnaire survey on the level of burnout of 284 patients,observing the influence of the level of burnout on the control of glucose metabolism and chronic complications.Results： The burnout of 284 patients was in a certain high level.The emotional exhaustion occurred in 35.2% of the patients in different degree and the treatment compliance was poor in these patients,among them the severe cases accounted for 12.7% and mild cases 22.5%.The depersonalization existed in 23.6% of the patients,the severe cases accounted for 9.2% and mild cases 14.4%.The lack of sense of achievement occurred in 24.6% of the patients,the severe cases accounted for 8.1% and mild cases 16.5%.The emotional exhaustion and lack of sense of achievement had an obvious effect on glucose metabolism and the level of blood glucose and GHbA1c were significantly higher in the patients with mild and severe emotional exhaustion and lack of sense of achievement compared with the other patients（P0.05,P0.01）;the depersonalization had a little effect on glucose metabolism and the relative increase of the level of blood glucose and GHbA1c was only found in the patients with depersonalization（P0.05）;the emotional exhaustion and lack of sense of achievement had an obvious effect on the diabetic macrovascular and microvascular complications（P0.05）;the influence of depersonalization on the diabetic macrovascular and microvascular complications was not significant.Conclusion： The burnout is in a high level in the young and middle-aged patients with type 2 diabetes mellitus,nurses should take effective measures to ensure health education so as to improve the patient＇s treatment compliance and prevent the lassitude of the patients towards treatment.
关键词
倦怠
中青年
2型糖尿病
慢性并发症
Burnout
Young and middle-aged patients
Type 2 diabetes mellitus
Chronic complications
