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应对方式与社会支持对糖耐量异常患者生活质量的影响(1)
http://www.100md.com 2017年10月8日 《中国医药科学》2017年第10期
     [摘要] 目的 分析应对方式与社会支持对糖耐量异常患者生活质量的影响。方法 选取2013年6月~2015年3月我院收治的146例糖耐量异常患者作为研究对象,采用焦虑自评量表、抑郁自评量表、生活质量量表以及社会支持评定量表对其进行问卷调查。随机将患者分为两组。对照组给予常规干预,实验组加强社会支持,对比分析3个月后患者的护理效果。结果 实验组糖耐量异常患者的焦虑(41.07±10.53)、抑郁(38.35±9.80)等不良情绪以及应对方式[消极(21.22±7.24)、积极(28.36±6.70)、社会支持(35.23±6.87)]、生活质量[环境(66.72±12.24)、社会(70.48±14.14)、心理(68.57±12.94)、生理66.35±13.37)]均优于对照组患者(t=15.343、18.324、9.584、4.875、6.246、11.656、23.685、17.857、18.058),经统计学分析,P<0.05。结论 糖耐量异常患者生活质量影响与社会支持、应对方式、情绪障碍密切相关,加强社会支持有助于提高患者的生活质量,降低不良情绪。

    [关键词] 糖耐量异常;生活质量;社会支持;应对方式

    [中图分类号] R587.1 [文献标识码] A [文章编号] 2095-0616(2017)10-153-04

    Impact of coping style and social support on quality of life in patients with abnormal glucose tolerance

    CHENG Zhaoxiang

    Internal Medicine, Three Company Bureau CRPCE Hospital, Zhaoqing 526020, China

    [Abstract] Objective To analyze the effect of coping style and social support on the quality of life of patients with impaired glucose tolerance. Methods 146 patients with impaired glucose tolerance admitted in our hospital from June 2013 to March 2015 were selected as the subjects. The self-rating scale, self-rating depression scale, quality of life scale and social support scale were used to conduct a questionnaire survey. They were randomly divided into two groups. Patients in control group were treated with routine intervention, and patients in experimental group were treated with strengthen social support. After 3 months, the patient's care effects of the two groups were compared. Results In the experimental group, patients with abnormal glucose tolerance (35.23±6.87), the quality of life (environment 66.72±12.24, society 70.48±14.14), the quality of life (environment 66.72±12.24, society 70.45±9.80) and coping style (negative 21.22±7.24, positive 28.36 ± 6.70), social support (35.23±6.87) (68.57±12.94, physiology 66.35±13.37) were better than those in the control group (t=15.343, 18.324, 9.584, 4.875, 6.246, 11.656, 23.685, 17.857, 18.058). By statistical analysis, P<0.05. Conclusion The quality of life of patients with impaired glucose tolerance is closely related to social support, coping style and mood disorder. Strengthening social support can improve the quality of life of patients and reduce the negative emotions.

    [Key words] Abnormal glucose tolerance; Quality of life; Social support; Coping style

    糖耐量异常(IGT)主要是指患者接受口服75g葡萄糖耐量试验2h之后血糖在140~199mg/dL范围内,处于糖尿病诊断标准和正常水平之间的一种临床症状。绝大多数IGT患者会随病情变化发展成2型糖尿病,但這一转化过程需要较长的时间。近年来,IGT发病率呈现明显上升趋势,因为IGT与2型糖尿病患者的生理症状和心理表现相似度较高,临床可参照糖尿病相关研究范式对IGT进行研究,并在此基础上寻找2型糖尿病的干预方法[1]。本文选取我院收治的146例糖耐量异常患者作为研究对象,研究加强社会支持对患者生活质量的影响,现作如下报道。 (程召祥)
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