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成年2型糖尿病患者中感知到的耻辱感与促进健康的自我护理之间的关系。

The relationship between perceived stigma and health-promoting self-care in adult patients with type 2 diabetes.

作者信息

Özkan Tuncay Fatma, Koçyiğit Nalan

机构信息

Health Sciences Faculty, Department of Medical Nursing, Sivas Cumhuriyet University, Sivas, Turkey.

Institute of Health Sciences, Department of Medical Nursing, Sivas Cumhuriyet University, Sivas, Turkey.

出版信息

J Diabetes Metab Disord. 2025 Jan 17;24(1):49. doi: 10.1007/s40200-025-01565-0. eCollection 2025 Jun.

DOI:10.1007/s40200-025-01565-0
PMID:39845909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11748663/
Abstract

OBJECTIVES

The study was conducted to examine the relationship between perceived self-stigma and health promotion self-care in patients with type 2 diabetes.

METHODS

The study was conducted with 206 patients with type 2 diabetes who were hospitalized in the endocrinology clinic of a state hospital between July and September 2023 and met the study inclusion criteria. Data were collected using a patient identification form, the Type 2 Diabetes Stigma Assessment Scale (DSAS-2) and the Diabetes Health Promotion Self-Care Scale (DHPSC). Data were analyzed using SPSS Statistical software (Version 22), which combines descriptive and analytical statistics.

RESULTS

The participants' DSAS-2 and DHPSC total mean scores were 47.85 ± 17.81 and 87.83 ± 19.19, respectively. A moderate, negative and statistically significant relationship was found between the participants' DSAS-2 and DHPSC total mean scores (r: 0.467, p:0.000), suggesting that health-promotion self-care is a predictor of perceived stigma.

CONCLUSION

The study revealed that the patients with type 2 diabetes experienced moderate levels of stigma, and as the level of perceived stigma increased, their self-care behaviors were negatively affected.

摘要

目的

本研究旨在探讨2型糖尿病患者自我感知耻辱感与健康促进自我护理之间的关系。

方法

本研究对206例2型糖尿病患者进行,这些患者于2023年7月至9月在一家国立医院的内分泌科住院,并符合研究纳入标准。使用患者识别表、2型糖尿病耻辱感评估量表(DSAS-2)和糖尿病健康促进自我护理量表(DHPSC)收集数据。使用结合描述性和分析性统计的SPSS统计软件(版本22)对数据进行分析。

结果

参与者的DSAS-2和DHPSC总平均得分分别为47.85±17.81和87.83±19.19。在参与者的DSAS-2和DHPSC总平均得分之间发现了中度、负向且具有统计学意义的关系(r:0.467,p:0.000),这表明健康促进自我护理是自我感知耻辱感的一个预测因素。

结论

该研究表明,2型糖尿病患者经历了中度水平的耻辱感,并且随着自我感知耻辱感水平的增加,他们的自我护理行为受到负面影响。

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本文引用的文献

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The relationship between stigma and psychological distress among people with diabetes: a meta-analysis.糖尿病患者的污名与心理困扰之间的关系:一项荟萃分析。
BMC Psychol. 2023 Aug 24;11(1):242. doi: 10.1186/s40359-023-01292-2.
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Type 2 diabetes stigma and its association with clinical, psychological, and behavioral outcomes: A systematic review and meta-analysis.2 型糖尿病污名及其与临床、心理和行为结果的关联:系统评价和荟萃分析。
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Self-esteem mediates the relationship perceived stigma with self-efficacy for diabetes management in individuals with type 2 diabetes mellitus.自尊在 2 型糖尿病患者感知的耻辱感与糖尿病管理自我效能感之间起中介作用。
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