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孤独感与糖尿病患者血糖控制的关系。

Relationship between loneliness and blood glucose control in diabetes.

机构信息

Department of Development of Nursing, Social and Medical Sciences, Faculty of Health Sciences, Medical University of Warsaw, Żwirki i Wigury 61, 02-091, Warsaw, Poland.

Polish Federation for Education in Diabetology, Żegańska 21/23, 03-823, Warsaw, Poland.

出版信息

BMC Public Health. 2020 Jul 20;20(1):1140. doi: 10.1186/s12889-020-09241-z.

DOI:10.1186/s12889-020-09241-z
PMID:32689971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7372778/
Abstract

BACKGROUND

The data of the International Diabetes Federation show that about 463 million people have diabetes. Better understanding of psychosocial aspects of life with this disease has become one of healthcare priorities in this group of patients. The aim of this study was to assess the relationships between loneliness and blood glucose control in diabetic patients.

METHODS

The study included 250 hospitalized patients with type 1 and 2 diabetes. The patients included in the study were those who had had diabetes for at least 1 year and received pharmacotherapy. Standardized Revised UCLA Loneliness Scale (R-UCLA) and an analysis of patient test results including 10 indicators of blood glucose control were used for data collection. Correlation analysis, i.e. Pearson's linear correlation coefficient (r, parametric method), was used for hypothesis verification.

RESULTS

Less than one-fifth (16%) of the patients included in the study had higher loneliness index (based on the R-UCLA scale), and this loneliness index (total result) was significantly correlated with higher blood pressure. No significant correlations were demonstrated between loneliness and the other 9 indicators of blood glucose control.

CONCLUSIONS

Systolic blood pressure was significantly correlated with loneliness in patients with diabetes. Further studies are needed to confirm these findings.

摘要

背景

国际糖尿病联合会的数据显示,全球约有 4.63 亿人患有糖尿病。更好地了解此类患者的生活心理社会方面,已成为医疗保健的重点之一。本研究旨在评估糖尿病患者的孤独感与血糖控制之间的关系。

方法

该研究纳入了 250 名 1 型和 2 型住院糖尿病患者。入组标准为糖尿病病史至少 1 年且接受药物治疗的患者。采用标准化修订版加州大学洛杉矶分校孤独量表(R-UCLA)和分析患者的 10 项血糖控制指标来收集数据。采用皮尔逊线性相关系数(r,参数法)进行假设检验。

结果

研究中不到五分之一(16%)的患者孤独感指数较高(基于 R-UCLA 量表),且该孤独感指数(总分)与较高的血压显著相关。孤独感与血糖控制的其他 9 项指标之间无显著相关性。

结论

糖尿病患者的收缩压与孤独感显著相关。需要进一步的研究来证实这些发现。

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Cultural Dimensions of Diabetes Management: a Qualitative Study of Middle Eastern Immigrants in the U.S.糖尿病管理的文化维度:对美国中东移民的定性研究
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Loneliness and its correlates amongst elderly attending non-communicable disease rural clinic attached to a tertiary care centre of North India.孤独感及其在印度北部一家三级护理中心所属农村非传染性疾病诊所就诊的老年患者中的相关性。
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Loneliness, Cardiovascular Disease, and Diabetes Prevalence in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study.西班牙裔社区健康研究/拉丁裔社会文化辅助研究中的孤独感、心血管疾病和糖尿病患病率。
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Loneliness and biological responses to acute stress in people with Type 2 diabetes.2 型糖尿病患者的孤独感与急性应激的生物学反应。
Psychophysiology. 2019 Jun;56(6):e13341. doi: 10.1111/psyp.13341. Epub 2019 Jan 28.
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