Objective To analyze the correlation between self-efficacy and psychological distress of type 2 diabetes patients in communities and to provide reference for the intervention. Methods Self-efficacy Scale for Diabetes Mellitus Patients (Chinese version) and Diabetes Distress Scale (Chinese version) were applied to investigate 252 type 2 diabetes patients in five different community clinics and health service centers. Results Average score of self-efficacy was 8.25, which indicated their self-efficacy remained in upper or mediate level; there was obvious manifestation of pain related to life routine and emotional burden, both of which were caused by diabetes and self-efficacy of type 2 diabetes patients was negatively correlated to their psychological distress (r=-0.430~-0.230, P<0.01). Conclusion There is negative correlation between self-efficacy and psychological distress of type 2 diabetes patients in communities. Psychological comfort is of importance in self-efficacy nursing of these patients by reducing their psychological distress, restoring their self-confidence in controlling blood sugar and eliminating their negative emotion.% 目的通过对社区2型糖尿病患者自我效能与心理痛苦的水平及相关性分析，为制定干预对策提供参考依据。方法采用中文版糖尿病自我效能量表和中文版糖尿病痛苦量表，对某社区5个社区卫生站或服务中心的252例2型糖尿病患者进行调查，分析两者的水平及其相关性。结果本组患者的自我效能得分总均分8.25分，属中等偏上水平；糖尿病痛苦量表结果显示，患者因糖尿病导致的与生活规律相关痛苦维度、情感负担维度的表现较明显，其情感负担处于轻中度占29.4%，生活规律相关痛苦处于轻中度者占30.9%；心理痛苦总分及其4个维度得分与自我效能得分呈一定负相关（r=－0.430～－0.230，P<0.01）。结论社区2型糖尿病患者的自我效能属中等偏上水平，且自我效能水平越高则心理痛苦程度越轻。提示应侧重对患者加强糖尿病导致的与生活规律相关痛苦、情感方面痛苦的干预；提高患者控制血糖的自信心，以消除负面情绪。
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