在2型糖尿病患者中,患者激活,经历的耻辱和内化体重耻辱之间的关系
Tracy J Sims1, Richa Kapoor1, Chanadda Chinthammit1
1Eli Lilly and Company, Indianapolis, Indiana, USA.
Diabetic medicine : a journal of the British Diabetic Association
|December 26, 2025
概括
2型糖尿病患者的自我管理与污名化有关. 较高的自我耻辱感,包括体重耻辱感,与较低的患者激活度和较差的糖尿病自我管理相关.
科学领域:
- 内分泌学 在内分泌学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 患者的激活对于有效的2型糖尿病 (T2D) 疾病自我管理至关重要.
- 感知到的污名化,特别是体重污名化对T2D患者激活的影响仍然未得到充分研究.
- 了解这些关系对于改善T2D护理和结果至关重要.
研究的目的:
- 研究糖尿病污名,体重污名,内化体重污名和T2D患者患者激活之间的关联.
- 检查自我污名化如何影响患者激活和血糖自我管理.
- 探索经历过与体重相关的耻辱和自我耻辱之间的关系.
主要方法:
- 一项基于调查的观察性研究,涉及857名美国T2D成年人.
- 利用经过验证的参与者报告的结果措施,包括糖尿病护理措施 (IMPACT-DTM) 中患者激活的影响和动机以及体重自我耻辱调查问卷 (WSSQ).
- 评估了糖尿病耻辱 (DSAS-2),自我管理 (DSMQ),疾病感知 (简要IPQ) 和感知体重耻辱和歧视.
主要成果:
- 较低的患者激活分数 (IMPACT-DTM) 与较高的自我耻辱分数 (WSSQ) 有关.
- 与体重相关的自我耻辱感较高的个体报告了更大的自我耻辱感 (简要IPQ,DSAS-2),较低的激活度和较差的血糖自我管理 (IMPACT-DTM,DSMQ).
- 那些经历了与体重相关的耻辱感的参与者报告了更高的自我耻辱感 (WSSQ,DSAS-2).
结论:
- 增加的自我耻辱与患者活化减少和T2D中较差的葡萄糖血清自我管理有显著的联系.
- 调查结果强调了急需采取干预措施,以减少耻辱和支持低活性患者.
- 解决内化和感知的耻辱是提高T2D的自我管理和健康结果的关键.
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