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Association between coping mechanisms and adherence to diabetes-related self-care activities: a cross-sectional study

机译：应对机制与坚持与糖尿病相关的自我保健活动之间的关联：一项横断面研究

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In the overall management of the most chronic diseases, including diabetes mellitus (DM), adherence to recommended disease-related self-care activities is of paramount importance. The diagnosis and presence of a chronic disease may be considered a difficult and stressful situation in life, a situation in which coping mechanisms are psychological processes developed at a conscious level to manage these situations. This study aimed to explore the possible relationship between the dominance of one of the four major coping styles and adherence to diabetes-related self-care activities (DRSCAs) in the population of patients with type 2 DM (T2DM). In a cross-sectional consecutive-case population-based study design, 126 patients previously diagnosed with T2DM were enrolled. Coping mechanisms were evaluated using the Cope scale inventory, which identifies the dominant coping mechanism: problem-, emotion-, social support-, or avoidance-focused. The quality of DRSCA was evaluated using the summary of diabetes self-care activities questionnaire, in which a higher score was associated with improved adherence. In the study cohort, 45 patients (35.7%) had problem-focused coping, 37 (29.4%) had emotion-focused coping, 32 (25.4%) social support-focused coping, and 12 (9.5%) had avoidance-focused coping. Patients with emotion-focused coping had the highest level ( P =0.02) of DRSCA (median 44 points), followed by patients with social support-focused coping (median 40 points) and problem-focused coping (median 36 points), while patients with avoidance-focused coping had the lowest SDSCA total score (33 points). The type of dominant coping mechanism has a significant impact on the quality of the DRSCA measures implemented by the patient to manage their diabetes. Patients with emotion-focused and social support-focused coping styles tend to have significantly increased adherence to DRSCA scores, while patients with other dominant coping styles are less interested in managing their disease.
机译：在包括糖尿病（DM）在内的大多数慢性疾病的总体管理中，坚持推荐的与疾病相关的自我保健活动至关重要。慢性疾病的诊断和存在可能被认为是生活中的困难和压力状态，在这种情况下，应对机制是在有意识的水平上发展起来的心理过程来管理这些情况。这项研究旨在探讨2种DM（T2DM）患者人群中四种主要应对方式中的一种优势与坚持与糖尿病相关的自我护理活动（DRSCA）之间的可能关系。在横断面连续病例人群研究设计中，纳入了126位先前被诊断患有T2DM的患者。使用应对规模量表对应对机制进行了评估，该量表确定了主要应对机制：问题，情感，社会支持或逃避为重点。 DRSCA的质量使用糖尿病自我护理活动调查表的摘要进行评估，其中较高的分数与改善的依从性相关。在研究队列中，有45名患者（35.7％）进行了以问题为重点的应对，37名（29.4％）进行了以情感为中心的应对，32（25.4％）进行了社交支持的应对，12例（9.5％）进行了回避应对。 。以情绪为重点的应对方式的患者的DRSCA水平最高（P = 0.02）（中值为44分），其次是以社会支持为重点的应对方式（中值为40分）和以问题为中心的应对方式（中位数36分），而患者以回避为重点的应对措施的SDSCA总得分最低（33分）。显性应对机制的类型对患者管理其糖尿病所实施的DRSCA措施的质量产生重大影响。以情绪为重点和以社会支持为重点的应对方式的患者对DRSCA评分的依从性显着提高，而其他主导应对方式的患者则对治疗疾病的兴趣较小。

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