Bao Huilan
The Endocrinology Department of Jinhua People's Hospital, ZheJiang, China.
Iran J Public Health. 2021 Aug;50(8):1648-1657. doi: 10.18502/ijph.v50i8.6811.
To promote the treatment effects and self-management behaviors of the patients with type 2 diabetes mellitus (T2DM) during the COVID-19 pandemic, this study empirically investigated the relationship among family support (FMS), mental resilience (MR) and diabetic distress (DD) in patients with T2DM.
Overall, 256 patients with T2DM from the Department of Endocrinology, Jinhua People's Hospital, ZheJiang, China were selected and measured for their perceptions of FMS, MR and DD from 2019-2020. Based on the measurements, the difference and correlation matrix under different background variables were studied by one-way variance and correlation analysis. A structural equation was used to analyze the causal path among the measurements.
Patients that differ in marital status, annual family income, medical insurance level, number of complications, and with/without insulin injection therapy were significantly different in their perception of FMS, MR and DD. FMS and MR had a significant negative correlation with DD. FMS used MR as an intermediary variable that affected DD.
Diabetes education, improved medical insurance levels, and targeted psychological consultation for patients could effectively improve their MR and alleviate DD.
为促进2型糖尿病（T2DM）患者在新型冠状病毒肺炎疫情期间的治疗效果和自我管理行为，本研究实证调查了T2DM患者的家庭支持（FMS）、心理弹性（MR）和糖尿病困扰（DD）之间的关系。
总体上，选取了中国浙江省金华市人民医院内分泌科的256例T2DM患者，对其2019 - 2020年期间的FMS、MR和DD认知情况进行测量。基于这些测量结果，通过单因素方差分析和相关性分析研究不同背景变量下的差异和相关矩阵。使用结构方程分析测量指标之间的因果路径。
婚姻状况、家庭年收入、医疗保险水平、并发症数量以及是否接受胰岛素注射治疗不同的患者在FMS、MR和DD认知方面存在显著差异。FMS和MR与DD呈显著负相关。FMS通过MR作为中介变量影响DD。
对患者进行糖尿病教育、提高医疗保险水平以及有针对性地进行心理咨询可以有效提高其MR并减轻DD。
