在日本2型糖尿病患者中,自我耻辱和糖尿病并发症之间的关联:一个横截面研究
Mayuko Yamamoto1, Yuichi Takashi2, Masashi Ishizu3
1Department of Endocrinology and Diabetes, Fukuoka University School of Medicine, Fukuoka, Japan.
BMJ open
|June 17, 2025
概括
自我耻辱与2型糖尿病患者的糖尿病视网膜病变 (DR) 有关. 解决自我耻辱可能会改善血糖控制和预防糖尿病,突出其在糖尿病护理中的重要性.
科学领域:
- 内分泌学 在内分泌学.
- 心理学 心理学 心理学
- 眼科医生 眼科 眼科
背景情况:
- 自我耻辱是慢性疾病管理中的重要心理社会因素.
- 了解自我耻辱对糖尿病并发症的影响对于有效的患者护理至关重要.
研究的目的:
- 调查通过自我耻辱度量 (SSS-J) 测量的自我耻辱和糖尿病并发症,特别是糖尿病视网膜病变 (DR) 和糖尿病病 (DKD) 之间的联系.
主要方法:
- 进行了一项横截面研究,对259名在日本接受门诊护理的2型糖尿病成年人 (≥20岁) 进行了研究.
- 自我污名度量表 (SSS-J) 用于评估自我污名度.
- 糖尿病视网膜病变 (DR) 和糖尿病病 (DKD) 被评估为二次结局.
主要成果:
- 在自我污名和糖化血红蛋白 (HbA1c) 水平 (r=0.132,p=0.034) 之间观察到正相关性.
- 与没有DR的患者相比,DR患者的SSS-J平均得分明显高 (p=0.006).
- 最高四分之一的SSS-J得分与DR (OR=3.91) 和白蛋白尿 (OR=2.45) 的风险增加有关,尽管在调整HbA1c后后者失去了意义.
结论:
- 糖尿病视网膜病变 (DR) 与自我耻辱的关联比糖尿病病 (DKD) 更强.
- 这项研究表明,解决自我耻辱可能有利于血糖管理和DR预防2型糖尿病.
- 医疗保健提供者应该认识到自我耻辱是最佳糖尿病护理的潜在障碍.
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