·糖尿病临床流行病学·

　　高云霞 张琳 李明子 纪立农

　　作者单位：102400北京市房山区第一医院(高云霞);北京大学护理学院(李明子、张琳);北京大学人民医院(纪立农)

　　通讯作者：李明子

　　【摘要】 目的 了解北京市房山区2型糖尿病(T2DM)患者心理性胰岛素抵抗的现状并分析其相关因素。 方法 采用问卷调查法调查96例T2DM患者,并对相关因素进行Logistic回归分析。 结果 愿意接受胰岛素治疗的患者占被调查人数的72.9%，不愿意接受胰岛素治疗的占27.1%。多元Logistic回归分析发现，对胰岛素的知晓情况与是否接受胰岛素治疗密切相关(OΓ=1.814，P<0.01)。 结论 房山区T2DM患者心理性胰岛素抵抗的根本因素为胰岛素知识缺乏，应强化糖尿病知识的健康教育。

　　【关键词】糖尿病，2型;胰岛素治疗;胰岛素治疗的心理抵制

　　doi:10.3969/j.issn.1006-6187.2011.04.005

　　A survey of psychological resistance to insulin treatment among T2DM patients in Fangshan district，Beijing

　　GAO Yun-xia, ZHANG Lin, LI Ming-zi, et al. The First Hospital of Fangshan district, Beijing 102400, China

　　Corresponding author: LI Ming-zi

　　【Abstract】 Objective To understand the psychological resistance to insulin treatment among T2DM patients in Fangshan district, Beijing and to analyze the related factors. Methods 96 T2DM patients were surveyed with questionnaires. A logistic regression analysis was conducted. Results 70 cases (72.9%) were willing to receive insulin treatment if needed; 26 cases (27.1%) were not willing to receive insulin treatment. The logistic regression analysis showed that the knowledge of insulin had a close correlation with the willingness of receiving insulin treatment (OΓ=1.814，P<0.01). Conclusion The main factor of psychological resistance to insulin treatment in T2DM patients in Fangshan district is the lack of insulin knowledge. Health education should be enhanced.

　　【Key words】Diabetes mellitus, type 2; Insulin treatment; Psychological resistance to insulin therapy