The Relationship Between Fear Disease Progression And Coping Style And Family Function In Type 2 Diabetic Patients

Objective: Understanding of disease progression in patients with type 2diabetes fear,coping style and family function of the status quo,analysis of fear disease progression and response,the relationship between the family functioning,and analysis the influence factors of disease progression,fear is put forward to make fear disease progression in moderate feasible Suggestions of fear,targeted intervention program for medical staff to provide theoretical basis.Methods: Using the convenience sampling method,choose from January2020 to November during the length of stay in Nanning two level 3first-class hospital endocrinology and meet the inclusion criteria of 323 patients with type 2 diabetes as the research object,use in patients with type 2 diabetes general data questionnaire,simplified Chinese fear of disease scale,medical coping mode questionnaire,family intimacy and adaptability scale of the object of study on the questionnaire survey.SPSS23.0 statistical software was used for data analysis,and descriptive analysis was used for general data.For the influencing factors of fear disease progression,coping style and family function in type 2 diabetes patients,univariate analysis was conducted by independent sample t test,analysis of variance,nonparametric rank sum test,and multivariate analysis was conducted by multiple linear regression analysis.Spearman correlation analysis was used to study the correlation between fear disease progression,coping style and family function in patients with type 2 diabetes.Results:(1)The fear progression score of 323 T2 DM patients included in the study was(29.43±5.29)points,among which 74 patients(22.9%)had FOP score ≥34 points.The top three concerns patients had about disease progression were: I felt anxious at the thought of disease progression;Worried that the treatments and medications would destroy my body;Worrying about having to depend on others for future activities and daily life.(2)The scores of coping style of T2 DM patients were(18.61±2.74),(15.26±2.16)and(12.45±2.17),respectively.The results of multiple linear regression analysis showed that age,education level,symptom distress and treatment method could explain 39.4%(P < 0.05)of the variation of the equation.(3)The total score of family function in T2 DM patients was(111.98±10.82).There were 163 cases of balanced family(50.5%),117 cases of intermediate family(36.2%),and 43 cases of extreme family(13.3%).Multiple linear regression analysis showed that education level,marital status,symptom distress and frequency of blood glucose monitoring were the main influencing factors of family function.(4)In T2 DM patients,fear progression was negatively correlated with the face dimension and family function dimension of coping style,and positively correlated with avoidance and yield dimension(P < 0.05).The dimensions of family function were positively correlated with the dimensions of face,and negatively correlated with the dimensions of avoidance and surrender(P < 0.05).(5)The univariate analysis of fear disease progression in type 2diabetes patients showed that there were statistical differences in fear disease progression scores among patients with different ages,educational level,occupational status,marital status,monthly family income,different treatment methods,symptom distress,number of complications and Hb A1c(P < 0.05).The results of multiple linear regression analysis showed that symptom distress,age,number of complications,face dimension,family intimacy and adaptability score finally entered the regression equation,which could explain 66.6% of the variation of the equation.Conclusion:(1)The fear disease progression of patients with type 2diabetes presents moderate and moderate fear level,which is related to age,educational level,marital status,occupational status,monthly family income and treatment methods,symptom disturbance,number of complications,and glycated hemoglobin,etc,and the patients with psychological dysfunction should be paid more attention.(2)The positive coping style of patients with type 2 diabetes needs to be improved;Clinicians should pay attention to the influence of age,education level,treatment methods and symptom disturbance on patients’ coping styles.(3)T2DM patients have good family intimacy and low family adaptability.Education level,marital status,symptom distress and frequency of blood glucose monitoring were the main influencing factors of family function.(4)Patients with type 2 diabetes had higher fear of disease progression with younger age,symptom distress,lower scores of face dimension,and lower scores of family intimacy and adaptability.