40ÀýÌÇÄò²¡È˵ÄÐÄÀí×´¿öµ÷²é¼°Æ令Àí_»¤ÀíѧÂÛÎÄ
·¢²¼Ê±¼ä£º
2014-10-14
À´Ô´£º
ÈË´ó¾¼ÃÂÛ̳
Õª Òª
Ä¿µÄ
ÌÇÄò²¡»¼Õß´æÔڽ϶àµÄÐÄÀí½¡¿µÎÊÌ⣬ÔÚ³£¹æÒ©ÎïÖÎÁƵÄͬʱÓèÒÔ±ØÒªµÄÐÄÀí¸ÉÔ¤¼°¿¹ÒÖÓôÒ©ÎïÖÎÁƶÔÌÇÄò²¡µÄ²¡Çé¿ØÖƵÄÁÆЧÊǿ϶¨µÄ£¬»¹¿É¼õÉÙ²¢·¢Ö¢¼°²»Á¼Ê¼þµÄ·¢Éú£¬Ìá¸ßÌÇÄò²¡»¼ÕßµÄÉú»îÖÊÁ¿£¬Ê¹ÌÇÄò²¡»¼Õß¼°Ôç»Ö¸´½¡¿µ¡£±¾Ñо¿Í¨¹ý·ÖÎöÌÇÄò²¡ÀÏÈ˵ÄÐÄÀíÌص㣬Öƶ¨Õë¶ÔÐÔÐÄÀí»¤Àí¡£
·½·¨
Ñо¿¶ÔÏóΪÓÉÎÒÔºÄÚ·ÖÃÚ²¡·¿È·ÕïΪÌÇÄò²¡µÄ40ÀýÀÏÈË¡£ÓÃZung½¹ÂÇ×ÔÆÀÁ¿±í(SAS)¡¢ZungÒÖÓô×ÔÆÀÁ¿±í(SDS)£¬¶Ô40ÀýÌÇÄò²¡ÀÏÈ˽øÐÐÎʾíµ÷²é£¬½«²âÊÔ½á¹ûÓë¹úÄÚ³£Ä£½øÐбȽϣ¬²¢´Ó²»Í¬ÐÔ±ð¡¢ÄêÁä¡¢¾¼Ã×´¿ö¡¢ÎÄ»¯³Ì¶È¡¢²¡³Ì·½Ãæ¼°¸ÉԤǰºó½øÐÐÐÄÀí×´¿öµÄ·ÖÎö¡£
½á¹û
ÌÇÄò²¡ÀÏÈËSASÆÀ·Ö(45£®18¡À9£®64)¡¢SDSÆÀ·Ö(51£®81¡À12£®18)Óë¹úÄÚ³£Ä£±È½Ï£¬²îÒìÓÐͳ¼ÆѧÒâÒå(P<0£®01)£¬ÇÒÄÐŮ֮¼ä¡¢²»Í¬ÄêÁä¶Î¡¢ÎÄ»¯³Ì¶È¡¢¾¼Ã×´¿öÖ®¼äµÄSAS¡¢SDSÆÀ·Ö±È½Ï£¬²îÒì¾ßÓÐͳ¼ÆѧÒâÒå¡£31£®7£¥µÄÌÇÄò²¡ÀÏÈËÓн¹ÂÇÖ¢×´£»19£®5£¥ÌÇÄò²¡»¼ÕßÓÐÒÖÓôÖ¢×´£»12£®2£¥µÄ»¼ÕßͬʱÓн¹ÂǺÍÒÖÓôÖ¢×´¡£ÌÇÄò²¡»¼ÕßµÄSAS¡¢SDS×Ü·ÖÊܲ¡³Ì¡¢ÓÐÎÞ²¢·¢Ö¢Ó°Ï졣ʵʩÕë¶ÔÐÔÐÄÀí»¤Àí8Öܺó,SAS¡¢SDS×Ü·Ö¶¼ÓÐÏÔÖøϽµ(P£¼0.05)¡£
½áÂÛ
ÌÇÄò²¡ÀÏÈ˳£´æÔÚ½¹ÂÇ¡¢ÒÖÓôÐÄÀí£¬ÇÒÊÜÐÔ±ð¡¢ÄêÁä¡¢ÎÄ»¯³Ì¶ÈºÍ¾¼Ã×´¿öµÄÓ°Ï죬¼ÓÇ¿ÌÇÄò²¡ÖªÊ¶Ðû½Ì£¬¸øÓèÕë¶ÔÐÔÐÄÀí»¤ÀíÊDZØÒªµÄ¡£
¹Ø¼ü´Ê£ºÌÇÄò²¡£»ÐÄÀí»¤Àí£»ÐÄÀí½¡¿µ£»SAS£»SDS
ÂÛÎÄÀàÐÍ£ºÑо¿±¨¸æ
Title: Study on The Psychological Pursing of Psychological Statuses Patients
ABSTRACT
Object: There are many mental health problems with diabetes, while conventional drug treatment be necessary psychological intervention and antidepressant drug treatment of diabetes disease control efficacy is yes, it can reduce complications and wells adverse events and improve quality of life of diabetic patients, diabetic patients in the early to recover. This study was to explore the path to increase the self-efficacy by analyzing the correlations ofself-efficacy and demographic data, knowledge on diabetes mellitus psychological state£¬social supports£¬disease control state as well as treatment measures in diabetes patients£®
Methods: 40 patients were recruited from hospital according to WHO type 2 diabetes mellitus diagnosis standard in 1 999£®Those wim psychiatric disorders and malignant tumors were excluded in this study£®The study was carried out by questionnaires£¬which included demographic data£¬diabetes related knowledge£¬self rating depressive scale£¬social supports rating scale and chronic disease self-efficacy.
Results:Social supports and self-efficacy£ºunivariate and multi¡ªvariable logistic regression analysis showed that social supports including objective and supports contributed to the increased the scale of self-efficacy£®subjective
Conclusions£ºTherefore£¬increasing efforts on directly intervention£¬mental nursing£¬social supports and health education are necessary to improve the scale of self-efficacy,which could further contribute to the effective treatments£¬delayed and controlled complications and improved quality of life£®
Key words£ºDiabetes mellitus£»Psychological nursing; Psychological health
Type of thesis: research report
Ŀ¼
Õª ÒªV
ABSTRACTVI
1 Ð÷ÂÛ1
1.1±³¾°¼°ÒâÒå1
1.2Ä¿µÄ¼°Ä¿±ê1
1.3¹Ø¼ü´Ê¶¨Òå2
1.3.1 ÌÇÄò²¡2
1.3.2 ÐÄÀí»¤Àí2
1.3.3 ÐÄÀí½¡¿µ2
1.3.4 SAS2
1.3.5 SDS2
1.4ÎÄÏ׻عË2
1.4.1ÌÇÄò²¡Ñо¿ÏÖ×´2
1.4.2¹úÍâÌÇÄò²¡»¼ÕßÐÄÀíѧ·½ÃæµÄÑо¿3
1.4.3ÌÇÄò²¡¶Ô»¼ÕßÉíÐÄ״̬µÄÓ°Ïì4
1.4.4ÌÇÄò²¡»¼ÕßµÄÉú»îÖÊÁ¿ÏÖ×´2
2 Ñо¿Éè¼Æ6
2.1Ñо¿Éè¼Æ6
2.2Ñо¿¶ÔÏó6
2.3Ñо¿·½·¨6
2.4Ñо¿²½Öè7
2.5×ÊÁÏ·ÖÎö7
3.½á¹û8
3.1½¹ÂÇ¡¢ÒÖÓôÇé¿ö8
3.2ÌÇÄò²¡»¼Õß SAS¡¢SDSÆÀ·ÖÓë¹úÄÚ³£Ä£±È½Ï8
3.3²»Í¬ÐԱ𡢾¼Ã×´¿öµÄÌÇÄò²¡»¼Õß SAS¡¢SDSÆÀ·Ö±È½Ï8
3.4²»Í¬½ÌÓý³Ì¶ÈµÄÌÇÄò²¡»¼ÕßSAS¡¢SDSÆÀ·Ö±È½Ï8
3.5²»Í¬²¡³ÌµÄÌÇÄò²¡»¼Õß SAS¡¢SDSÆÀ·Ö±È½Ï9
3.6ÐÄÀí»¤Àí8ÖܺóÐÄÀí×´¿öµÄ±ä»¯9
4.ÌÖÂÛ10
4.1ÌÇÄò²¡ÀÏÈ˽¹ÂÇÒÖÓô×´¿ö10
4.2Ó°ÏìÌÇÄò²¡»¼Õß½¹ÂÇÒÖÓôµÄÏà¹ØÒòËØ10
4.2.1 ²»Í¬ÐԱ𡢾¼Ã×´¿öµÄÌÇÄò²¡»¼ÕߵĽ¹ÂÇÒÖÓô×´¿ö10
4.2.2 ²»Í¬½ÌÓý³Ì¶ÈµÄÌÇÄò²¡»¼Õß½¹ÂÇÒÖÓô×´¿ö10
4.2.3 ²»Í¬²¡³ÌµÄÌÇÄò²¡»¼ÕߵĽ¹ÂÇÒÖÓô×´¿ö11
4.3ÀÏÄêÌÇÄò²¡»¼ÕßµÄÐÄÀí¸ÉÔ¤·½·¨11
5.ÍÆÂÛÓ뽨Òé13
5.1ÍÆÂÛ13
5.2½¨Òé13
²Î¿¼ÎÄÏ×14
ÖÂл15