2型糖尿病患者的人格特征与自我护理之间的关系。
The relationship between personality profile and self-care among patients with type 2 diabetes.
作者信息
Dadras Zahra, Molaei Behnam, Aghamohammadi Masoumeh
机构信息
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
Department of Family Health, Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran.
出版信息
Front Psychol. 2022 Nov 15;13:1030911. doi: 10.3389/fpsyg.2022.1030911. eCollection 2022.
BACKGROUND
As a chronic disease, diabetes needs special self-care behaviors until the end of life. Personality traits are considered to be effective psychological factors in controlling diabetes and self-care in patients with diabetes. The present study was conducted to determine the relationship between personality profile and self-care among people with type 2 diabetes.
METHODS
In this descriptive-correlational study conducted in 2021, 160 patients with type 2 diabetes referred to the diabetes clinic of Imam Khomeini Educational and Medical Center in Ardabil were selected by convenience sampling method. The data collection tools included the Diabetes Self-Care Activities questionnaire (SDSCA) and the short form of the Millon Multi-Axis Clinical Test (MCMI-3), which were completed through interviews with patients. Data were analyzed by SPSS software using descriptive statistics (mean, SD, and frequency) and inferential statistics (Pearson correlation coefficient and linear regression).
RESULTS
Based on the results, apart from the obsessive personality disorder, which had a positive relationship with self-care behaviors, a significant negative correlation was observed between schizoid, avoidant, depressed, dependent, antisocial, self-harming, borderline, and paranoid personality disorders with self-care behaviors ( < 0.01).
CONCLUSION
The results showed that there is a significant negative relationship between personality profile and self-care status of patients with type 2 diabetes. In other words, a person's personality profile can predict self-care behaviors. Accordingly, personality traits can be considered as one of the influencing factors on self-care in the educational programs of diabetic patients. Holding educational classes to empower patients using psychological interventions and teaching effective solutions can be an effective step toward increasing the level of mental-physical health and self-care of patients with type 2 diabetes.
背景
作为一种慢性病，糖尿病需要特殊的自我护理行为直至生命结束。人格特质被认为是控制糖尿病及糖尿病患者自我护理的有效心理因素。本研究旨在确定2型糖尿病患者的人格特征与自我护理之间的关系。
方法
在这项于2021年进行的描述性相关性研究中，通过便利抽样法选取了160名转诊至阿尔达比勒伊玛目霍梅尼教育与医疗中心糖尿病门诊的2型糖尿病患者。数据收集工具包括糖尿病自我护理活动问卷（SDSCA）和米隆多轴临床测验简版（MCMI - 3），通过与患者访谈完成。使用SPSS软件对数据进行分析，采用描述性统计（均值、标准差和频率）以及推断性统计（皮尔逊相关系数和线性回归）。
结果
基于研究结果，除强迫型人格障碍与自我护理行为呈正相关外，分裂样、回避型、抑郁型、依赖型、反社会型、自伤型、边缘型和偏执型人格障碍与自我护理行为之间均存在显著负相关（<0.01）。
结论
结果表明，2型糖尿病患者的人格特征与自我护理状况之间存在显著负相关。换句话说，一个人的人格特征可以预测自我护理行为。因此，在糖尿病患者的教育项目中，人格特质可被视为影响自我护理的因素之一。通过心理干预举办教育课程以增强患者能力并教授有效解决方案，可能是提高2型糖尿病患者身心健康及自我护理水平的有效举措。
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