The mediating effect of self-management ability on stress perception, anxiety and depression in young and middle-aged patients with type 2 diabetes
10.3760/cma.j.cn211501-20231206-01209
- VernacularTitle:自我管理行为在中青年2型糖尿病患者知觉压力与焦虑、抑郁间的中介效应
- Author:
Chunguang CHEN
1
;
Ying LI
;
Wenwen SHI
Author Information
1. 宿迁市第一人民医院内分泌科，宿迁 223800
- Keywords:
Diabetes mellitus, type 2;
Anxiety;
Depression;
Self-management;
Stress perception;
Young and middle-age
- From:
Chinese Journal of Practical Nursing
2024;40(29):2300-2307
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the interaction between self-management ability, stress perception, anxiety and depression in young and middle-aged patients with type 2 diabetes, and provide guidance for relieving anxiety and depression.Methods:A total of 198 young and middle-aged patients with type 2 diabetes who were treated in the First People′s Hospital of Suqian City from December 2021 to June 2022 were included by convenience sampling method. The general information questionnaire, Self-Behavior Management Scale for Diabetic Patients, Stress Perception Scale, Self-rating Anxiety Scale and self-rating Depression Scale were used to investigate the patients. Pearson correlation was used to analyze the correlation between patients′ self-management ability, perceived stress and anxiety and depression, and to construct a structural model of patients′ self-management ability in perceived stress, anxiety and depression.Results:Finally 185 valid questionnaires were collected. The mean age of the patients was (39.09 ± 5.36) years old, with 102 males and 83 females, respectively. The patients′ self-management ability was (15.79 ± 1.34) points, stress perception (36.46 ± 10.53) points, anxiety (47.39 ± 7.47) points, depression (52.35 ± 8.50) points. Stress perception was positively correlated with anxiety and depression ( r = 0.779, 0.932, both P<0.05), while self-management was negatively correlated with stress perception ( r = - 0.656, P<0.05), and self-management was negatively correlated with anxiety and depression ( r = - 0.631, - 0.684, both P<0.05). There was a partial mediating effect between stress perception and anxiety, accounting for 17.72% of the total effect. There was a partial mediating effect between stress perception and depression, accounting for 20.92% of the total effect. Conclusions:Middle-aged and young people with type 2 diabetes generally have greater stress and higher anxiety and depression, and perceived stress can directly affect the degree of anxiety and depression, and perceived stress can indirectly affect the degree of anxiety and depression through the mediating role of self-management ability, and can reduce the degree of anxiety and depression by strengthening the self-management ability of patients.
