中青年2型糖尿病患者疾病感知及希望水平对恐惧疾病进展影响的路径分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (6): 810-816.

中青年2型糖尿病患者疾病感知及希望水平对恐惧疾病进展影响的路径分析

王永丽¹, 杨妍婷¹, 王璐¹, 葛艳红², 郑美洁³, 沈永青¹

1.河北中医学院护理学院,河北石家庄 050000;
2.河北医科大学第二医院内分泌科,河北石家庄 050000;
3.河北省人民医院内分泌科,河北石家庄 050000

收稿日期:2023-06-12 修回日期:2023-08-07 出版日期:2024-03-15 发布日期:2026-03-16
通信作者: 沈永青,教授,E-mail：Shyq@sina.com
作者简介:王永丽,女,在读硕士研究生,研究方向为临床护理。
基金资助:
河北省医学科学研究课题（20190537,20190003）

Path analysis of the influence of disease perception and hope level on fear of disease progression in young and middle-aged patients with type 2 diabetes mellitus

WANG Yongli¹, YANG Yanting¹, WANG Lu¹, GE Yanhong², ZHENG Meijie³, SHEN Yongqing¹

1. School of Nursing,Hebei University of Chinese Medicine,Shijiazhuang Heibei,050000, China;
2. Department of Endocrinology,The Second Hospital of Hebei Medical University,Shijiazhuang Heibei,050000, China;
3. Department of Endocrinology,Hebei General Hospital,Shijiazhuang Heibei,050000, China

Received:2023-06-12 Revised:2023-08-07 Online:2024-03-15 Published:2026-03-16
Contact: SHEN Yongqing,Professor,E-mail：Shyq@sina.com

摘要/Abstract

摘要： 目的调查中青年2型糖尿病（type 2 diabetes mellitus,T2 DM）患者恐惧疾病进展现状并分析其影响因素,进一步探究疾病感知、希望水平对恐惧疾病进展的影响及作用机制。方法 2022年6—10月通过便利抽样方法,选取河北省石家庄市3所三级甲等医院内分泌科住院治疗的408例中青年T2 DM患者作为研究对象,应用简易疾病感知问卷（the brief illness perception questionnaire,BIPQ）、中文版恐惧疾病进展简化量表（fear of progression questionnaire-short form,FoP-Q-SF）、Herth希望量表（herth hope index,HHI）进行调查。结果中青年T2 DM患者的恐惧疾病进展得分为（31.29±5.17）分,疾病感知得分为（39.97±6.02）分,希望水平得分为（34.87±4.29）分;恐惧疾病进展与疾病感知呈正相关（r=0.454,P<0.01）,与希望水平呈负相关（r=-0.526,P<0.01）。多元回归分析结果显示,性别、住院前血糖监测频率、最近1次糖化血红蛋白、近半年低血糖史、疾病感知、希望水平进入回归方程（F=26.219,P<0.01）,可解释中青年T2DM患者恐惧疾病进展总变异的38.30%。路径分析结果显示,希望水平在疾病感知与恐惧疾病进展间发挥部分中介效应,占总效应量的47.65%。结论中青年T2DM患者的恐惧疾病进展处于中等偏上水平,疾病感知可以通过希望水平间接影响中青年T2DM患者的恐惧疾病进展。临床医护人员可通过制定针对性的干预措施和健康指导策略,以缓解中青年T2DM患者的恐惧疾病进展心理。

关键词: 2型糖尿病, 中青年, 恐惧疾病进展, 疾病感知, 希望水平

Abstract: Objective To investigate the current situation of fear disease progression in young and middle-aged patients with type 2 diabetes mellitus（T2 DM） and analyze its influencing factors,exploring the influence and mechanism of disease perception and hope level on fear disease progression. Methods A total of 408 young and middle-aged patients with T2 DM from three grade-A tertiary hospitals in Shijiazhuang were selected by convenience sampling method form June to October 2022. The subjects were investigated with the brief illness perception questionnaire（BIPQ）,fear of progression questionnaire-short form（FoP-Q-SF） and Herth hope index（HHI）. Results The score of fear disease progression,illness perception and hope level of the young and middle-aged patients with T2 DM were （31.29±5.17）,（39.97±6.02） and （34.87±4.29）points,respectively. The fear of disease progression was positively correlated with illness perception（r=0.454,P<0.01） and negatively correlated with hope level（r=-0.526,P<0.01）. The results of multiple regression analysis showed that gender,the frequency of blood glucose monitoring before hospitalization,last glycated hemoglobin,the history of hypoglycemia in the past six months,disease perception and hope level entered the regression equation（F=26.219,P<0.01）,which could explain 38.30% of the fear of disease progression in young and middle-aged T2 DM patients. The path analysis revealed that hope level played a partial mediating effect between disease perception and fear of disease progression,accounting for 47.65% of the total effect. Conclusions The fear of disease progression in young and middle-aged patients with T2 DM is at an above medium level. Disease perception can indirectly affect the fear of disease progression in young and middle-aged patients with T2 DM through hope level. Clinical medical staff can develop targeted intervention measures and health guidance strategies to alleviate their fear of disease progression.

Key words: Type 2 diabetes mellitus, Young and middle-aged, Fear of disease progression, Disease perception, Hope level

中图分类号:

R181.3

王永丽, 杨妍婷, 王璐, 葛艳红, 郑美洁, 沈永青. 中青年2型糖尿病患者疾病感知及希望水平对恐惧疾病进展影响的路径分析. [J]职业与健康, 2024, 40(6): 810-816.

WANG Yongli, YANG Yanting, WANG Lu, GE Yanhong, ZHENG Meijie, SHEN Yongqing. Path analysis of the influence of disease perception and hope level on fear of disease progression in young and middle-aged patients with type 2 diabetes mellitus. [J]OCCUPATION AND HEALTH, 2024, 40(6): 810-816.

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