目的 调查2型糖尿病(Type 2 diabetes mellitus,T2DM)患者的恐惧疾病进展现状, 并分析其影响因素。方法 采用便利抽样法选取2022年7-12月于南宁市某三甲医院住院的200例T2DM患者作为研究对象,采用一般资料调查表、恐惧疾病进展量表、自我感受负担量表、领悟社会支持量表进行调查。结果 患者恐惧疾病进展量表得分为(30.4±6.44)分,≥34分者为68例(34.0%);自我感受负担量表得分为(23.0±7.91)分,领悟社会支持量表得分为(51.54±9.50)分。决策树模型特异性明显优于多元线性回归模型。综合多元线性回归和决策树模型:职业状态、家庭人均月收入、自我感受负担量表和领悟社会支持量表是T2DM患者恐惧疾病进展的重要影响因素。结论 T2DM患者恐惧疾病进展的水平处于中等,医护人员应多关注在职的T2DM患者的心理状况,并采取相关的措施提高患者的社会支持水平和降低其自我感受负担水平,来降低患者的恐惧疾病进展水平,以促进患者的心理健康。

Objective To investigate the status and influencing factors of fear of progression(FoP) in patients with type 2 diabetes mellitus (T2DM). Methods The convenience sampling method was performed to enroll 200 patients with T2DM who were hospitalized in a tertiary hospital in Nanning from July 2022 to December 2022 in the research. The general information questionnaire, Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Self-Perceived Burden Scale (SPBS), Perceived Social Support Scale (PSSS) were conducted to investigate. Results The FoP-Q-SF score of patients was (30.4±6.44), and 68 patients (34.0%) had ≥ 34 score; the SPBS score was (23.0±7.91), and the PSSS score was (51.54±9.50). The specificity of decision tree model was significantly better than that of multiple linear regression model. A combination of multiple linear regression with decision tree showed that occupational status, monthly household income per capita, SPBS and PSSS were the influencing factors of FoG in T2DM patients. Conclusion The average status of FoG in T2DM patients is at an intermediate level. Medical staff should pay more attention to the psychological status of in-service T2DM patients, and take relevant measures to improve the social support level of patients and reduce their self-perceived burden level, aiming to reduce FoG level and promote the mental health of patients.