2型糖尿病患者的正念水平现状及其影响因素分析
Current Status and Influencing Factors of Mindfulness in Patients with Type 2 Diabetes Mellitus
摘要: 目的：调查2型糖尿病患者正念水平现状并分析其影响因素，为提升2型糖尿病患者的正念水平提供理论依据。方法：采用便利抽样法，选取2023年6月至2024年5月于青岛大学附属医院就诊的部分2型糖尿病患者113例。应用一般资料调查表、正念注意觉知量表(MAAS)、社会支持评定量表(SSRS)、2型糖尿病病耻感评估量表(DSAS-2)对所有患者进行调查研究，通过多重线性回归分析T2DM患者正念水平影响因素。结果：2型糖尿病患者的MAAS得分为(52.33 ± 14.41)分，总体处于中等水平，单因素分析结果显示2型糖尿病患者的MAAS得分与性别、文化程度、家庭人均月收入、空腹血糖、糖尿病家族史、病程、合并症数量、治疗方案、其他慢性病有关，差异有统计学意义(P < 0.05)；MAAS得分与病耻感总分及其3个维度评分均呈负相关(P < 0.05)，与社会支持总分及其3个维度评分均呈正相关(P < 0.05)；采用多元线性回归模型进行多因素分析结果显示，家庭人均月收入、合并症数量、治疗方案、病耻感总分、社会支持总分为2型糖尿病患者正念水平独立影响因素(P < 0.05)。结论：2型糖尿病患者正念水平中等，仍有待提高，医护人员可针对影响2型糖尿病患者正念水平的影响因素，如家庭人均月收入、合并症数量、治疗方案、病耻感、社会支持，采取针对性的干预措施，提高2型糖尿病患者的正念水平。
Abstract: Objective: To investigate the current state of mindfulness level among patients with type 2 diabetes and analyze its influencing factors, as so to provide theoretical foundation for improving the mindfulness level of patients with type 2 diabetes. Methods: Convenience sampling was employed to select 113 patients with type 2 diabetes who were treated at the Affiliated Hospital of Qingdao University from June 2023 to May 2024. The questionnaire survey was conducted with the General Information Questionnaire and the Mindful Attention Awareness Scale (MAAS), the Social Support Rating Scale (SSRS), and the Diabetes Stigma Assessment Scale for Type 2 Diabetes (DSAS-2). Multiple linear regression analysis was used to identify the influencing factors of mindfulness in patients with type 2 diabetes. Results: The MAAS score of patients with type 2 diabetes was (52.33 ± 14.41), indicating a moderate level. The results of single-factor analysis indicated that the MAAS scores of patients with type 2 diabetes were associated with gender, education level, family per capita monthly income, fasting blood glucose, family history of diabetes, duration of disease, number of comorbidities, treatment regimen, and the presence of other chronic conditions, and the differences were statistically significant (P < 0.05). MAAS score was negatively correlated with the total score of stigma and its three dimensions (P < 0.05), and positively correlated with the total score of social support and its three dimensions (P < 0.05). The results of the multivariate linear regression model for multifactor analysis indicate that family per capita monthly income, number of comorbidities, treatment regimen, stigma, and social support are independent influencing factors for mindfulness levels in patients with type 2 diabetes (P < 0.05). Conclusion: The level of mindfulness among patients with type 2 diabetes is moderate and requires further enhancement. Medical staff can take targeted treatment and nursing measures to enhance the mindfulness levels of patients with type 2 diabetes according to the influencing factors, such as family per capita monthly income, number of comorbidities, treatment regimen, stigma and social support.
文章引用：卢肖臻, 陈娇, 陈瞳, 张利方, 张杰涛. 2型糖尿病患者的正念水平现状及其影响因素分析[J]. 临床医学进展, 2024, 14(11): 1318-1327. https://doi.org/10.12677/acm.2024.14113017

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