中国农村卫生事业管理2024，Vol.44Issue(5)：347-351,359,6.DOI:10.19955/j.cnki.1005-5916.2024.05.008
经济负担对糖尿病患者心理性胰岛素抵抗的影响
Influence of financial burden on psychological insulin resistance in diabetes patients:The mediating role of coping style
摘要
Abstract
Objective To know about the impact pathways of financial burden on psychological insulin resistance in diabetes patients.Methods A multi-stage stratified random sampling was performed to randomly se-lect diabetes patients from 27 villages or communities in Shandong Province,China,and 660 valid questionnaires were collected.The questionnaire was composed of basic information,a survey on simple coping strategies,and a scale of My Opinion on Insulin(MOI).Pearson correlation analysis was conducted to analyze the correlation be-tween the financial burden,coping strategies and psychological insulin resistance.Bootstrap methods tested the importance of the mediating effect.Results The scores of psychological insulin resistance and coping strategies of diabetes patients were(72.97±11.38)and(9.21±7.62),respectively.Pearson correlation analysis showed that financial burden and coping strategies positively correlated with psychological insulin resistance(r=0.119,P＜0.01;r=0.081,P＜0.05).The intermediary effect analysis results showed that the direct effect value of fi-nancial burden on psychological insulin resistance was 0.990,and the indirect effect value was 0.176.Conclu-sions The coping strategies of diabetes patients were active,and their psychological insulin resistance was se-vere.Coping strategies mediated financial burden and psychological insulin resistance in diabetes patients,which suggested that we should increase the proportion of medical insurance reimbursement for insulin,cultivate pa-tients'positive coping strategies,and alleviate their psychological insulin resistance.关键词
糖尿病/经济负担/应对方式/心理性胰岛素抵抗/中介作用Key words
Diabetes/Financial burden/Coping strategy/Psychological insulin resistance/Mediating role分类
医药卫生引用本文复制引用
张世龙,马兴丽,张馨丹,范文瑜,王海鹏..经济负担对糖尿病患者心理性胰岛素抵抗的影响[J].中国农村卫生事业管理,2024,44(5):347-351,359,6.基金项目
国家重点研发计划项目(2020YFC2006500,2020YFC2006505) （2020YFC2006500,2020YFC2006505）
