糖尿病心理痛苦及影响因素研究进展

doi:10.3969/j.issn.1674-490X.2023.02.009

摘要/Abstract

摘要： 糖尿病作为慢性终身性疾病,长期的疾病管理易使患者生理和心理负担加重,而产生心理痛苦,影响患者的病情和生活质量。从糖尿病心理痛苦现状、心理痛苦评估工具及影响因素进行综述,并提出自己的思考,为识别、预防糖尿病心理痛苦并对其实施针对性干预提供参考,并为以后的相关研究指明方向。

关键词: 糖尿病, 心理痛苦, 影响因素

Abstract: As a chronic lifelong disease, the long-term disease management of diabetes predisposes patients to increase physical and psychological burdens, resulting in negative psychological distress, which affects patients' disease progression and quality of life. This article reviews the current status of psychological distress in diabetes, psychological distress assessment tools and influencing factors, and presents its own reflections to provide a reference for identifying, preventing and implementing targeted interventions for psychological distress in diabetes, and to point out the way for future related research.

Key words: diabetes, psychological distress, influencing factors

中图分类号:

R473.5

张新颖,井坤娟. 糖尿病心理痛苦及影响因素研究进展[J]. 医学研究与教育, 2023, 40(2): 58-65.

参考文献

[1] International Diabetes Federation. Global Diabetes Data Report 2000—2045[EB/OL].(2021-11-08)[2022-10-24].https://www.diabetesatlas.org/data/en/world/.
[2] 郝书婕,周欢欢,袁晓丹,等.2型糖尿病患者心理痛苦评估及其相关因素分析[J].中国糖尿病杂志, 2017, 25(9): 805-811. DOI: 10.3969/j.issn.1006-6187.2017.09.009.
[3] FISHER L, GLASGOW R E, MULLAN J T, et al. Development of a brief diabetes distress screening instrument[J]. Ann Fam Med, 2008, 6(3): 246-252. DOI: 10.1370/afm.842.
[4] 杨丽萍,张先庚,高静,等.社区老年2型糖尿病患者糖尿病痛苦与抑郁症状的相关性[J].中国老年学杂志, 2017, 37(16): 4099-4100. DOI: 10.3969/j.issn.1005-9202.2017.16.086.
[5] 张启云,顾炜.2型糖尿病患者心理痛苦现状及其对血糖控制的影响[J].中华现代护理杂志,2016,22(35):5056-5059.DOI: 10.3760/cma.j.issn.1674-2907.2016.35.007.
[6] 杨圣楠,朱元媛,楼青青.2型糖尿病患者生存质量及其与糖尿病心理痛苦的关系[J].护理管理杂志, 2015, 15(10): 689-691.
[7] JANNOO Z, WAH Y B, LAZIM A M, et al. Examining diabetes distress, medication adherence, diabetes self-care activities, diabetes-specific quality of life and health-related quality of life among type 2 diabetes mellitus patients[J]. J Clin Transl Endocrinol, 2017, 9: 48-54. DOI: 10.1016/j.jcte.2017.07.003.
[8] CHEW B H, MOHD-SIDIK S, SHARIFF-GHAZALI S. Negative effects of diabetes-related distress on health-related quality of life: an evaluation among the adult patients with type 2 diabetes mellitus in three primary healthcare clinics in Malaysia[J]. Health Qual Life Outcomes, 2015, 13: 187. DOI: 10.1186/s12955-015-0384-4.
[9] YOUNG-HYMAN D, DE GROOT M, HILL-BRIGGS F, et al. Psychosocial care for people with diabetes: a position statement of the American diabetes association[J]. Diabetes Care, 2016, 39(12): 2126-2140. DOI: 10.2337/dc16-2053.
[10] PERRIN N E, DAVIES M J, ROBERTSON N, et al. The prevalence of diabetes-specific emotional distress in people with Type 2 diabetes: a systematic review and meta-analysis[J]. Diabet Med, 2017, 34(11): 1508-1520. DOI: 10.1111/dme.13448.
[11] KRETCHY I A, KODUAH A, OHENE-AGYEI T, et al. The association between diabetes-related distress and medication adherence in adult patients with type 2 diabetes mellitus: a cross-sectional study[J]. J Diabetes Res, 2020, 2020: 4760624. DOI: 10.1155/2020/4760624.
[12] 李双,胡旭,陈雨晴,等.2型糖尿病病人低血糖恐惧感、心理痛苦及自我管理的相关性[J].护理研究, 2021, 35(7): 1140-1144. DOI: 10.12102/j.issn.1009-6493.2021.07.003.
[13] 任晓虹,吴大鹏,何萍,等.老年2型糖尿病患者心理痛苦的影响因素[J].中国老年学杂志, 2019, 39(20): 5117-5120. DOI: 10.3969/j.issn.1005-9202.2019.20.072.
[14] 黄海婷,张苍.2型糖尿病病人糖尿病痛苦的评估及其影响因素[J].护理研究, 2017, 31(13): 1662-1664. DOI: 10.3969/j.issn.1009-6493.2017.13.042.
[15] 高霜,张艳丽,吴姗姗,等.2型糖尿病患者的糖尿病痛苦现状调查及影响因素分析[J].中华全科医学, 2020, 18(12): 2136-2139. DOI: 10.16766/j.cnki.issn.1674-4152.001707.
[16] 秦秀宝,丁淑贞,陈正女,等.2型糖尿病患者糖尿病痛苦的现状及其影响因素分析[J].护理学报, 2017, 24(6): 9-13. DOI: 10.16460/j.issn1008-9969.2017.06.009.
[17] HU Y F, LI L X, ZHANG J.Diabetes distress in young adults with type 2 diabetes: a cross-sectional survey in China[J]. J Diabetes Res, 2020, 2020: 4814378. DOI: 10.1155/2020/4814378.
[18] ZHANG J, XU C P, WU H X, et al. Comparative study of the influence of diabetes distress and depression on treatment adherence in Chinese patients with type 2 diabetes: a cross-sectional survey in the People's Republic of China[J]. Neuropsychiatr Dis Treat, 2013, 9: 1289-1294. DOI: 10.2147/NDT.S49798.
[19] POLONSKY W H, FISHER L, EARLES J, et al. Assessing psychosocial distress in diabetes: development of the diabetes distress scale[J]. Diabetes Care, 2005, 28(3): 626-631. DOI: 10.2337/diacare.28.3.626.
[20] 杨青,刘雪琴.中文版糖尿病痛苦量表信效度评价[J].护理学报,2010, 17(17): 8-10. DOI: 10.16460/j.issn1008-9969.2010.17.023.
[21] POLONSKY W H, ANDERSON B J, LOHRER P A, et al. Assessment of diabetes-related distress[J]. Diabetes Care, 1995, 18(6): 754-760. DOI: 10.2337/diacare.18.6.754.
[22] HUANG M F, COURTNEY M, EDWARDS H, et al. Validation of the Chinese version of the Problem Areas in Diabetes(PAID-C)scale[J]. Diabetes Care, 2010, 33(1): 38-40. DOI: 10.2337/dc09-0768.
[23] 曹笑柏.基于社会支持的2型糖尿病患者心理痛苦对主观幸福感的路径分析[D].长春: 吉林大学, 2017:16-25.
[24] 张洁,许翠萍,吴红霞,等.2型糖尿病患者疾病痛苦及相关因素分析[J].护理管理杂志, 2013, 13(5): 331-333.
[25] 谢欣欣,谢虹.社区2型糖尿病病人心理痛苦现状及影响因素[J].护理研究, 2020, 34(15): 2645-2649. DOI: 10.12102/j.issn.1009-6493.2020.15.005.
[26] 张静.2型糖尿病病人糖尿病痛苦影响因素分析[D].沈阳: 辽宁中医药大学, 2020:16-20.
[27] AZADBAKHT M, FADAYEVATAN R, TANJANI P T, et al. Prevalence and determinant factors of diabetes distress in community-dwelling elderly in Qom, Iran[J]. Int J Prev Med, 2021, 12: 145. DOI: 10.4103/ijpvm.IJPVM_372_19.
[28] 蓝梅.女性糖尿病患者心理痛苦与角色压力、社会支持的关系研究[D].成都: 电子科技大学, 2022:18-29.
[29] 张洁.糖尿病痛苦对2型糖尿病患者生活质量的影响[D].济南: 山东大学, 2013:21-22.
[30] 贾庆梅,张丽,喻喆,等.青年2型糖尿病患者糖尿病痛苦水平及其影响因素分析[J].预防医学, 2021, 33(8): 808-811. DOI: 10.19485/j.cnki.issn2096-5087.2021.08.013.
[31] TUNSUCHART K, LERTTRAKARNNON P, SRITHANAVIBOONCHAI K, et al. Type 2 diabetes mellitus related distress in Thailand[J]. Int J Environ Res Public Health, 2020, 17(7): 2329. DOI: 10.3390/ijerph17072329.
[32] ITURRALDE E, RAUSCH J R, WEISSBERG-BENCHELL J, et al. Diabetes-related emotional distress over time[J]. Pediatrics, 2019, 143(6): e20183011. DOI: 10.1542/peds.2018-3011.
[33] STRANDBERG R B, GRAUE M, WENTZEL-LARSEN T, et al. Longitudinal relationship between diabetes-specific emotional distress and follow-up HbA1c in adults with Type 1 diabetes mellitus[J]. Diabet Med, 2015, 32(10): 1304-1310. DOI: 10.1111/dme.12781.
[34] LEE S W H, NG K Y, CHIN W K. The impact of sleep amount and sleep quality on glycemic control in type 2 diabetes: a systematic review and meta-analysis[J]. Sleep Med Rev, 2017, 31: 91-101. DOI: 10.1016/j.smrv.2016.02.001.
[35] BAO H L, LIU J R, YE J. Influencing factors of the diabetes distress among Chinese patients with type 2 diabetes mellitus[J]. Psychiatr Danub, 2018, 30(4): 459-465. DOI: 10.24869/psyd.2018.459.
[36] 任伶俐,任晓虹,李淼,等.2型糖尿病糖尿病痛苦现状与相关性研究[J].四川医学, 2017, 38(10): 1116-1119. DOI: 10.16252/j.cnki.issn1004-0501-2017.10.003.
[37] STOOP C H, NEFS G, POP V J, et al. Diabetes-specific emotional distress in people with Type 2 diabetes: a comparison between primary and secondary care[J]. Diabet Med, 2014, 31(10): 1252-1259. DOI: 10.1111/dme.12472.
[38] BO A, POUWER F, JUUL L, et al. Prevalence and correlates of diabetes distress, perceived stress and depressive symptoms among adults with early-onset Type 2 diabetes: cross-sectional survey results from the Danish DD2 study[J]. Diabet Med, 2020, 37(10): 1679-1687. DOI: 10.1111/dme.14087.
[39] DENOLLET J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality[J]. Psychosom Med, 2005, 67(1): 89-97. DOI: 10.1097/01.psy.0000149256.81953.49.
[40] 刘素香,盛洁华,俞映霞,等.D型人格对2型糖尿病患者自我效能的影响研究[J].护理与康复, 2020, 19(5): 24-27.
[41] 陈文真.2型糖尿病患者服药依从性的影响因素及中介效应分析[D].合肥: 安徽中医药大学, 2022:24-26.
[42] 陈欣悦,严杰,袁晨曦,等.2型糖尿病患者D型人格对自我管理行为的影响[J].护理学杂志, 2018, 33(21): 65-68. DOI: 10.3870/j.issn.1001-4152.2018.21.065.
[43] LIN Y H, CHEN D, LIN C M, et al. Type D personality is associated with glycemic control and socio-psychological factors on patients with type 2 diabetes mellitus: a cross-sectional study[J]. Psychol Res Behav Manag, 2020, 13: 373-381. DOI: 10.2147/PRBM.S245226.
[44] MICHAEL R. A schedule for assessing self-control behaviors: preliminary findings[J]. Behav Ther, 1980, 11(1): 109-121.
[45] 陆嘉佳,张云飞,柯熹,等.智谋概念在我国护理领域的应用进展[J].循证护理, 2022, 8(15): 2041-2045. DOI: 10.12102/j.issn.2095-8668.2022.15.009.
[46] 郭金晶.兰州市社区空巢老年2型糖尿病患者智谋水平及其影响因素相关研究[D].兰州: 甘肃中医药大学, 2022:31-32.
[47] LIN P Y, LEE T Y, LIU C Y, et al. The effect of self-efficacy in self-management on diabetes distress in young people with type 2 diabetes[J]. Healthcare(Basel), 2021, 9(12): 1736. DOI: 10.3390/healthcare9121736.
[48] 徐慧文,王世伟,陈璇,等.自我效能在空巢老年2型糖尿病病人社会支持与糖尿病相关心理痛苦间的中介效应[J].护理研究, 2019, 33(16): 2736-2740. DOI: 10.12102/j.issn.1009-6493.2019.16.002.
[49] 厉姝岑.青年2型糖尿病患者糖尿病痛苦影响因素及中介效应分析[D].南京: 南京中医药大学, 2021:13-18.
[50] 刘林,徐慧文,王世伟,等.自我效能在空巢老年2型糖尿病病人心理痛苦与自我管理间的中介效应研究[J].中国护理管理, 2019, 19(11): 1621-1625. DOI: 10.3969/j.issn.1672-1756.2019.11.006.
[51] COCCARO E F, LAZARUS S, JOSEPH J, et al. Emotional regulation and diabetes distress in adults with type 1 and type 2 diabetes[J]. Diabetes Care, 2021, 44(1): 20-25. DOI: 10.2337/dc20-1059.
[52] 曾琪烽,吴彬,赵同领,等.老年2型糖尿病患者压力知觉影响身心健康的心理机制[J].广西医学, 2022, 44(15): 1772-1777. DOI: 10.11675/j.issn.0253-4304.2022.15.18.
[53] 张一博,杨振,张会君,等.中青年2型糖尿病患者心理资本在知觉压力与心理痛苦间的中介作用[J].当代护士(下旬刊), 2022, 29(6): 16-20. DOI: 10.19793/j.cnki.1006-6411.2022.18.005.
[54] 姚树桥,杨彦春.医学心理学[M].6版.北京: 人民卫生出版社, 2013: 104-105.
[55] 徐慧文,陈璇.社区糖尿病患者心理痛苦与应对方式的相关性研究[J].中国护理管理, 2016, 16(11): 1489-1492. DOI: 10.3969/j.issn.1672-1756.2016.11.011.
[56] 郭晓迪,胡细玲,骆斯慧,等.糖尿病住院患者应对方式与心理痛苦的相关性研究[J].中华护理教育, 2018, 15(2): 125-128. DOI: 10.3761/j.issn.1672-9234.2018.02.010.
[57] 何欣欣,谢文,陈镜羽,等.2型糖尿病患者心理痛苦与应对方式状况及其相关性[J].现代临床护理, 2016, 15(8): 1-5. DOI: 10.3969/j.issn.1671-8283.2016.08.001.
[58] FRANKLIN D. Mental resilience in dealing with traumatic events[J]. Aust J Forensic Sci, 2019, 51(4): 369-370. DOI: 10.1080/00450618.2019.1608700.
[59] 蒋凤,黄金,戴美玲,等.积极心理学在糖尿病患者心理健康中的相关研究[J].中华糖尿病杂志, 2019, 11(10): 689-692. DOI: 10.3760/cma.j.issn.1674-5809.2019.10.010.
[60] 杨晓迪,李曾荣,刘素贞.中青年2型糖尿病患者心理弹性的影响因素分析[J].预防医学, 2021, 33(7): 665-669. DOI: 10.19485/j.cnki.issn2096-5087.2021.07.004.
[61] 梁茵.中老年2型糖尿病患者家庭支持、心理韧性与糖尿病痛苦的关系[D].北京: 北京中医药大学, 2018:41-45.
[62] BAO H L. Relationship among family support, mental resilience and diabetic distress in patients with type 2 diabetic mellitus during COVID-19[J]. Iran J Public Health, 2021, 50(8): 1648-1657. DOI: 10.18502/ijph.v50i8.6811.
[63] PYATAK E A, CARANDANG K, VIGEN C L P, et al. Occupational therapy intervention improves glycemic control and quality of life among young adults with diabetes: the resilient, empowered, active living with diabetes(REAL diabetes)randomized controlled trial[J]. Diabetes Care, 2018, 41(4): 696-704. DOI: 10.2337/dc17-1634.
[64] RAMKISSON S, PILLAY B J, SIBANDA W. Social support and coping in adults with type 2 diabetes[J]. Afr J Prim Health Care Fam Med, 2017, 9(1): e1-e8. DOI: 10.4102/phcfm.v9i1.1405.
[65] PRESLEY C A, MONDESIR F L, JUAREZ L D, et al. Social support and diabetes distress among adults with type 2 diabetes covered by Alabama Medicaid[J]. Diabet Med, 2021, 38(4): e14503. DOI: 10.1111/dme.14503.
[66] 雷金花,赵琼兰.糖尿病病人相关心理痛苦现状及影响因素[J].全科护理, 2017, 15(1): 104-105. DOI: 10.3969/j.issn.1674-4748.2017.01.043.
[67] WENG J P, ZHOU Z G, GUO L X, et al. Incidence of type 1 diabetes in China, 2010-13: population based study[J]. BMJ, 2018, 360: j5295. DOI: 10.1136/bmj.j5295.