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糖尿病患者述情障碍:与领悟社会支持和血糖控制的关系。(#SCI文献)

 Nursing小班长 2022-03-29

Celik, S., Taskin Yilmaz, F., Yurtsever Celik, S., Anataca, G., & Bulbul, E. (2021). Alexithymia in diabetes patients: its relationship with perceived social support and glycaemic control. Journal of Clinical Nursing, 00, 1– 9. 

https:///10.1111/jocn.16088

糖尿病患者述情障碍:与领悟社会支持和血糖控制的关系。

Aim and Objective 研究目的

This study was conducted to assess whether there is an association between alexithymia in patients with diabetes and the levels of perceived social support and glycaemic control.

本研究旨在探讨糖尿病患者的述情障碍是否与领悟社会支持和血糖控制之间有关联。

Background 研究背景

In the literature, whether inadequate perceived social support is a cause or effect of alexithymia has also not been clearly explained. It is stated that it is difficult to determine from where these contradictions arise, and there is a need for more studies on this topic.

在文献中,是否领悟社会支持与述情障碍之间存在关联仍然未证实。很难确定这些障碍的来源有哪些,因此,有必要对述情障碍主题进行持续的探讨。

Method 研究方法

This cross-sectional and correlational study included 537 patients with type I and type 2 diabetes. The data were collected using a Patient Information Form including the patient's HbA1c value that reflected their glycaemic control level, the Toronto Alexithymia Scale and the Multidimensional Scale of Perceived Social Support. The study was reported according to the STROBE Declaration.

共纳入调查537Ⅰ型糖尿病和Ⅱ型糖尿病患者。收集的资料包括:一般资料(包括糖化血红蛋白值)、述情障碍量表、领悟社会支持量表。

Results 研究结果

Among the patients with diabetes, 63.9% showed signs of alexithymia. Alexithymia had a negative relationship with perceived social support and a positive relationship with HbA1c. Additionally, it was determined that the patients who showed signs of alexithymia had lower levels of perceived social support in comparison with those who did not show such signs, whereas the HbA1c levels of the former were also higher than those of the latter. Moreover, it was found that the duration of the disease, HbA1c levels and levels of perceived social support from family and a significant other explained 30% of the total variance in the level of alexithymia.

结果显示,有63.9%的糖尿病患者出现述情障碍。述情障碍与领悟社会支持呈现负相关,与糖化血红蛋白水平呈正相关。此外,与没有出现述情障碍症状的糖尿病患者相比,出现述情障碍症状的患者领悟社会支持水平较低,而前者的糖化血红蛋白水平也高于后者。疾病的持续时间、糖化血红蛋白水平、来自家庭和其他人的支持水平可解释述情障碍水平差异的30%。(因素还应该纳入更多)

Conclusion 研究结论

Alexithymia was seen prevalently among the patients with diabetes, and it was associated with a reduced level of perceived social support and weak glycaemic control.

述情障碍症状在糖尿病患者中比较常见,它与患者的领悟社会支持水平和血糖控制有关。

Relevance to clinical practice: It is recommended to provide patients with psychosocial support in the scope of holistic care and include the individuals who provide care for and support the patient in the patient's management of the disease.

对临床实践的意义:建议在整体护理的范围内为患者提供心理社会支持,并包括在患者的疾病管理中提供护理和支持的个人。

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