目的 调查中青年2型糖尿病患者恐惧疾病进展(FoP)现状,分析相关影响因素.方法 采用一般资料调查问卷、恐惧疾病进展简化量表(FoP-Q-SF)、中文版疾病感知问卷简化版(BIPQ)、医学应对方式问卷(MCMQ)对该院2022年7-9月内分泌科住院治疗的288例中青年2型糖尿病患者进行现状调查,分析患者FoP-Q-SF得分与BIPQ、MCMQ得分的相关性,并采用单因素分析和多元逐步线性回归模型分析中青年T2DM患者FoP的独立影响因素.结果 患者FoP-Q-SF总分为(31.93±5.44)分,社会家庭维度(16.66±2.76)分,生理健康维度(15.27±3.60)分.患者FoP-Q-SF总分及各维度得分与BIPQ总分、回避、屈服维度得分呈正相关(P<0.01),与面对维度得分呈负相关(P<0.01).BIPQ总分、面对维度得分、年龄、因糖尿病住院次数、男性、使用胰岛素及在职进入回归方程,解释总变异率的57.9％.结论 应加强对中青年2型糖尿病重点人群的关注,改善患者疾病感知、引导患者积极应对,以降低其FoP水平.

目的 了解妊娠期糖尿病(GDM)孕妇的家庭复原力水平,并分析家庭复原力与GDM孕妇负性情绪及生活质量的相关性.方法 选取159例GDM孕妇作为研究对象,采用家庭复原力问卷(FRQ)、负性情绪量表、糖尿病患者生存质量特异性量表(DSQL)分别评估GDM孕妇的家庭复原力水平、负性情绪及生活质量.分析GDM孕妇的家庭复原力水平与负性情绪、生活质量的相关性.结果 GDM孕妇FRQ总分标准分为(70.84±9.14)分,负性情绪量表得分为(32.38±7.03)分,DSQL得分为(54.89±5.09)分.FRQ总分及各维度得分与GDM孕妇的负性情绪量表得分均呈负相关,与DSQL总分及生理功能、社会关系和治疗状况3个维度的得分均呈负相关(均P<0.05).医护人员可从提高家庭复原力的角度入手为GDM孕妇制订个体化的治疗方案,减少其负性情绪,提高其生活质量.结论 GDM孕妇的家庭复原力水平处于中等水平,其与负性情绪及生活质量呈负相关.

Objective:To explore the current situation of hypoglycemia fear of elderly patients with type 2 diabetes mellitus (T2DM) in the community, identify different types of hypoglycemia fear among elderly T2DM patients in the community by latent profile analysis, and analyze its influencing factors, so as to provide reference for formulating intervention measures.Methods:From February to April 2023, convenience sampling was used to select 300 elderly T2DM patients from three community health service centers in Shunqing District, Nanchong City, Sichuan Province as the research subject. The self-designed General Information Questionnaire, the Chinese Version Hypoglycemia Fear Survey-Ⅱ (CHFS-Ⅱ), and the Summary Diabetes Self Care Activities (SDSCA) were used to investigate the patients, and the latent profile of hypoglycemia fear was analyzed. Binary Logistic regression was used to analyze the influencing factors of different latent categories of hypoglycemic fear in elderly T2DM patients in the community.Results:A total of 300 questionnaires were distributed, and 290 valid questionnaires were collected, with an effective response rate of 96.7% (290/300). Among 290 elderly T2DM patients in the community, the hypoglycemia fear could be divided into two latent categories, including the "moderate worry-normal coping" group ( n=134) and the "high fear-cautious behavior" group ( n=156). The binary Logistic regression showed that marital status, whether there were complications of diabetes, treatment plan and self-management were the factors influencing the latent categories of elderly T2DM patients in the community, and the difference was statistically significant ( P<0.05) . Conclusions:There are classification characteristics of hypoglycemic fear levels in elderly T2DM patients in the community. Community medical and nursing staff should early identify patients in the "high fear-cautious behavior" group, regularly carry out targeted hypoglycemic health education and psychological intervention, reduce their hypoglycemic fear, and improve their quality of life.

目的 分析国内婴儿哭声研究领域的现状,探索该领域国内研究热点,旨在为婴儿哭声领域科研工作提供一定思路和依据.方法 检索CNKI建库至2021年12月期间所收录的婴儿哭声相关研究文献,运用CiteSpace软件对纳入文献从发文量、作者、机构、关键词、突现5个方面进行可视化分析.结果 共纳入190篇文献,1980-2021年间该领域发文量整体呈上升趋势;研究作者较少,作者间合作网络尚未形成;研究机构之间交互性差,发文量最多的是杭州医学院及其附属医院;"护理干预"、"哭声信息识别"、"深度学习"为该领域研究热点;"护理"、"新生儿"、"婴儿哭声"、"深度学习"为该领域研究前沿;研究趋势由新生儿病理性哭声研究转向婴儿哭声针对性干预、深度学习.结论 国内婴儿哭声领域受到更多重视,未来应强化作者和机构间的合作交流,融合多学科发展,扩大研究范围,可从婴儿情感需求分析、智能医学与监护、新型护理干预方法等方面着手,加速国内婴儿哭声研究进程.