2型糖尿病患者自我损耗的成因分析.pdfVIP

·70·JournalofNursingScienceAug.2025Vol.40No.16

·心理护理·

·论著·

2型糖尿病患者自我损耗的成因分析

游嘉欣1²,徐蓉1，夏添1²，黄海珊1

型糖尿病患者作为研究对象。应用现象学质性研究方法，由经过培训的研究者进行半结构化深度访谈，根据Colaizzi7步分析法

进行资料的处理及提炼分析。结果最终提炼出2个主题和7个亚主题：直接触发因素，包括负面情绪、决策困境、克制冲动、竞争

性任务；间接影响因素，包括动机不足、缺乏支持、低自我效能感。结论直接触发因素在短期内迅速消耗患者自我调节资源，间接

影响因素则通过改变应对能力和心理状态增加患者长期负担，二者共同作用加速自我损耗的进程。护理人员应根据患者心理损

耗原因，提供针对性的行为干预策略，帮助患者提升自我调节能力并减轻自我损耗水平，从而避免自我损耗的负面效应。

关键词：2型糖尿病；自我损耗；自我调节；自我管理；质性研究；影响因素；心理资源；护理

中图分类号：R473.5;R587.1D0I:10.3870/j.issn.1001-4152.2025.16.070

Aqualitativestudyofcausesofego-depletioninpatientswithtype2diabetesmellitusYou

Jiaxin,XuRong,XiaTian,HuangHaishan,DepartmentofNursing,TongjiHospital,TongjiMedicalCollege,HuazhongUniversity

ofScienceandTechnology,Wuhan430030,China

Abstract:ObjectiveToidentifyfactorscontributingtoego-depletioninpatientswithtype2diabetesmellitus(T2DM)andtoprovide

referencefortargetedinterventions.MethodsUsingphenomenologicalqualitativedesign,17T2DMpatientswerepurposivelyse-

lectedforsemi-structuredin-depthinterviewsconductedbytrainedresearchers.DatawereanalyzedviaColaizzisseven-step

methodtoextractthemes.ResultsTwomainthemesandsevensub-themesemerged:directtriggers:negativeaffect,decision-

makingdilemmas,impulserestraint,andcompetitivetasks;andindirectcontributors:lackofmotivation,insufficientsupport,and

lowself-efficacy.ConclusionDirecttriggersinduceacuteexhaustionofself-regulatoryresources,whileindirectcontributorsexacer-

batelong-termvulnerabilitythroughcompromisedcopingcapacity.Theirsynergisticinteractionacceleratesego-depletionprogres-

sion.Nursinginterventionsshouldaddressthesemechanismsthroughtailoredstrategiestoenhanceself-regulationandmitigatede-

pletion-relatedadverseoutcomes.

Keywords:type2diabetesmellitus;ego