杭州地区青年2型糖尿病患者病耻感及影响因素分析

doi:10.12183/j.scjpm.2022.0922

摘要/Abstract

摘要： 目的分析青年2型糖尿病患者病耻感及影响因素。方法采用方便抽样方法选择杭州地区某疗养中心3个院区于2018年6月至2021年6月诊疗的18~40岁2型糖尿病患者作为研究对象进行病耻感评估（采用DSAS-2量表）,采用描述性分析方法对该人群病耻感情况进行分析,并采用单、多因素分析方法对病耻感的影响因素进行分析。结果共有358例青年2型糖尿病患者完成调查,年龄18~40岁,平均年龄（31.12±3.32）岁,BMI 17.6~33.72 kg/m², 平均BMI（23.67±3.40）kg/m²。糖尿病病程以<10个月所占比例较高,占82.17%。DSAS-2总分为（58.55±18.69）分,3个维度得分由高到低依次为自我耻辱、责怪和评判、区别对待,分别为（21.35±7.75）、（19.44±6.20）、（17.76±5.83）分。多重线性回归分析结果显示,糖尿病病程（β’=-0.251）、合并其他慢性病（β’=0.360）、糖尿病家族史（β’=0.295）、糖尿病并发症（β’=0.611）、胰岛素注射治疗（β’=1.049）是青年2型糖尿病患者病耻感的影响因素。结论 2型糖尿病青年患者存在较高的病耻感水平。若干因素均为青年2型糖尿病患者出现病耻感的影响因素,对于其中可控因素,需进行相应的干预。

关键词: 2型糖尿病, 病耻感, 青年, 代谢疾病, 情绪反应

Abstract: Objective To analyze the stigma of youth patients with type 2 diabetes and its influencing factors. Methods A convenient sampling method was used to select 18-40 year-old patients with type 2 diabetes undergoing diagnosis and treatment in threc hospital areas of a sanatorium in Hangzhou from June 2018 to June 2021 as the study subjects to evaluate their stigma （using the DSAS-2 scale）. The descriptive analysis method was used to analyze their stigma, and univariate and multivariate analysis methods were used to analyze the factors affecting their stigma. Results A total of 358 youth patients with type 2 diabetes completed the survey, with an age of 18-40 years, an average age of （31.12 ± 3.32） years, a BMI of 17.6-33.72 kg/m², and an average BMI of （23.67 ± 3.40） kg/m². The proportion of patients with diabetes duration less than 10 months was higher, accounting for 82.17%. The total score of DSAS-2 was （58.55 ± 14.69） points. The scores of the three dimensions from high to low were self-humiliation, blame and judgment, and differential treatment, which were （21.35 ± 7.75）, （19.44 ± 6.20） and （17.76 ± 5.83） points, respectively. Multiple linear regression analysis showed that the course of diabetes （β’=- 0.251）, combined with other chronic diseases （β’= 0.360）, family history of diabetes （β’= 0.295）, diabetes complications （β’= 0.611）, and insulin injection therapy （β’= 1.049） were the influencing factors of the stigma in youth patients with type 2 diabetes. Conclusion Youth patients with type 2 diabetes have a high level of stigma. Several factors can influence the stigma in youth patients with type 2 diabetes. For the controllable factors, corresponding intervention is needed.

Key words: Type 2 diabetes, Stigma, Youth, Metabolic diseases, Emotional reaction

中图分类号:

R587.1

张友琴, 张云兰, 谷成晓, 许秀娟, 王冬. 杭州地区青年2型糖尿病患者病耻感及影响因素分析[J]. 华南预防医学, 2022, 48(8): 922-925.

ZHANG You-qin, ZHANG Yun-lan, GU Cheng-xiao, XU Xiu-juan, WANG Dong. Stigma and its influencing factors of youth patients with type 2 diabetes in Hangzhou[J]. South China Journal of Preventive Medicine, 2022, 48(8): 922-925.

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