目的: 分析2型糖尿病（T2DM）患者低血糖恐惧感与情绪智力及心理弹性的关系。方法: 随机选取2021年4月―2022年4月湖南省人民医院内分泌科收治的186例经历过低血糖的T2DM患者作为研究对象。对研究对象发放一般资料调查问卷、低血糖恐惧感量表Ⅱ（CHFSⅡ）、情绪智力量表（WLEIS）和心理弹性量表（CD-RISC）调查患者的一般资料、低血糖恐惧感、情绪智力、心理弹性情况。分析T2DM患者低血糖恐惧感与情绪智力及心理弹性的相关性。结果: 186例T2DM患者CHFSⅡ总分、WLEIS总分、CD-RISC总分分别为（45.05±7.49）、（60.68±7.15）、（53.38±6.73）。不同年龄、文化程度、工作情况、病程的T2DM患者CHFSⅡ、WLEIS、CD-RISC量表得分比较,差异有统计学意义。Pearson相关分析显示,T2DM患者情绪控制得分（r=-0.534）、自我情绪知觉得分（r=-0.581）、情绪运用得分（r=-0.521）、他人情绪知觉得分（r=-0.489）、WLEIS总分（r=-0.545）、坚韧得分（r=-0.583）、乐观得分（r=-0.562）、力量评分得分（r=-0.541）、CD-RISC总分（r=-0.568）与CHFSⅡ总分均呈负相关。多元线性回归分析结果显示,年龄、文化程度、病程、WLEIS总分、CD-RISC总分均是T2DM患者低血糖恐惧感的影响因素。结论: T2DM患者存在不同程度的低血糖恐惧感,且情绪智力和心理弹性均与其存在相关性,可通过提高情绪智力和心理弹性水平改善T2DM患者的低血糖恐惧感。
Abstract
Objective To analyze the relationship between hypoglycemic fear, emotional intelligence and resilience in patients with type 2 diabetes (T2DM). Methods 186 patients with T2DM who experienced hypoglycemia were randomly selected from the Endocrinology Department of Hunan Provincial People's Hospital from April 2021 to April 2022. Questionnaires for general information, hypoglycemia fear scale II (CHFS II), emotional intelligence scale (WLEIS) and psychological resilience scale (CD-RISC) were distributed to the research subjects to investigate the general information, hypoglycemia fear, emotional intelligence of the patients, psychological resilience. To analyze the correlation of hypoglycemia fear with emotional intelligence and psychological resilience in T2DM patients. Results The total scores of CHFSⅡ, WLEIS and CD-RISC of 186 T2DM patients were (45.05±7.49), (60.68±7.15), and (53.38±6.73), respectively. The scores of CHFS Ⅱ, WLEIS and CD-RISC scales of T2DM patients with different age, education, work status and course of disease were significantly different (P<0.05). Pearson correlation analysis showed that T2DM patients' emotional control score (r=-0.534), self-emotional perception score (r=-0.581), emotional use score (r=-0.521), others' emotional perception score (r=-0.489), WLEIS total score (r=-0.545), tenacity score (r=-0.583), optimism score (r=-0.562), strength score (r=-0.541) The total score of CD-RISC (r=- 0.568) was negatively correlated with the total score of CHFS II (P<0.05). The results of multiple linear regression analysis showed that age, education level, course of disease, WLEIS total score and CD-RISC total score were the influencing factors of hypoglycemic fear in T2DM patients (P<0.05). Conclusion The T2DM patients admitted to our hospital have different degrees of fear of hypoglycemia, and both emotional intelligence and psychological resilience are related to it. By improving the level of emotional intelligence and psychological resilience, the fear of hypoglycemia in T2DM patients can be improved.
关键词
2型糖尿病 /
低血糖恐惧感 /
情绪智力 /
心理弹性 /
相关性
Key words
type 2 diabetes mellitus /
fear of hypoglycemia /
emotional intelligence /
psychological resilience /
correlation
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