■这项研究的目的是确定述情障碍之间的相关性,社会支持,抑郁症,2型糖尿病患者的血糖控制。此外,本研究旨在探讨社会支持和抑郁在述情障碍与血糖控制之间的潜在中介作用.
■采用有目的的抽样方法选择一组318名患有2型糖尿病的患者,来自成都市的一家医疗机构。这项调查包含了一个横截面框架,其中一般信息问卷等文书,多伦多述情障碍量表20,社会支持评定量表,和汉密尔顿抑郁量表是明智的管理。这项努力的主要目的是解开述情障碍之间存在的相互作用,社会支持,抑郁症,和血糖控制。调查通过单变量和相关分析辨别了这些相互关系,随后深入研究了在述情障碍和血糖控制之间的关系中社会支持和抑郁所产生的中介效应。
■诊断为2型糖尿病患者的HbA1c水平记录为(8.85±2.107),以及他们在述情障碍方面的现状,社会支持,抑郁测量为(58.05±4.382),(34.29±4.420),和(7.17±3.367),分别。HbA1c与述情障碍呈显著相关(R=0.392,P<0.01),社会支持(R=-0.338,P<0.01),抑郁(R=0.509,P<0.01)。此外,述情障碍与社会支持相关(R=-0.357,P<0.01),与抑郁相关(R=0.345,P<0.01)。关于调解分析,述情障碍对HbA1c的直接影响为0.158,而通过社会支持和抑郁的间接影响分别为0.086和0.149.确定总效应值为0.382,中介效应占59.95%,直接效应占40.31%。
■述情障碍对血糖控制产生直接和间接的不利影响,从而加剧疾病的结果。因此,必须优先考虑2型糖尿病患者的心理健康状况,以提高整体幸福感,改善糖尿病相关结局,提高患者的生活质量,并减轻与疾病相关的心理困扰和经济负担。
UNASSIGNED: The aim of this research was to ascertain the correlations between alexithymia, social support, depression, and glycemic control in patients diagnosed with type 2 diabetes mellitus. Additionally, this study sought to delve into the potential mediating effects of social support and depression in the relationship between alexithymia and glycemic control.
UNASSIGNED: A purposive sampling methodology was employed to select a cohort of 318 patients afflicted with type 2 diabetes mellitus, hailing from a care establishment situated in Chengdu City. This investigation embraced a cross-sectional framework, wherein instruments such as the General Information Questionnaire, the Toronto Alexithymia Scale 20, the Social Support Rating Scale, and the Hamilton Depression Scale were judiciously administered. The primary objective of this endeavor was to unravel the interplay that exists amongst alexithymia, social support, depression, and glycemic control. The inquiry discerned these interrelationships through both univariate and correlational analyses, subsequently delving into a comprehensive exploration of the mediating ramifications engendered by social support and depression in the nexus between alexithymia and glycemic control.
UNASSIGNED: The HbA1c level of patients diagnosed with type 2 diabetes mellitus was recorded as (8.85 ± 2.107), and their current status with regards to alexithymia, social support, and depression were measured as (58.05 ± 4.382), (34.29 ± 4.420), and (7.17 ± 3.367), respectively. Significant correlations were found between HbA1c and alexithymia (R=0.392, P<0.01), social support (R=-0.338, P<0.01), and depression (R=0.509, P<0.01). Moreover, alexithymia correlation with social support (R=-0.357, P<0.01) and with depression (R=0.345, P<0.01). Regarding the mediation analysis, the direct effect of alexithymia on HbA1c was calculated to be 0.158, while the indirect effect through social support and depression were 0.086 and 0.149, respectively. The total effect value was determined to be 0.382, with the mediating effect accounting for 59.95%, and the direct effect accounting for 40.31%.
UNASSIGNED: Alexithymia exerts both direct and indirect adverse effects on glycemic control, thereby exacerbating disease outcomes. Hence, it is imperative to prioritize the mental health status of individuals with type 2 diabetes to enhance overall well-being, ameliorate diabetes-related outcomes, elevate patients\' quality of life, and alleviate the psychological distress and financial burden associated with the condition.