Abstract: Objective: To explore the current situation and its influencing factors of health-related hardiness in patients with diabetes. Methods: A total of 350 patients with type 2 diabetes were investigated using the general situation questionnaire, Health-related Hardiness Scale (HRHS), Self-Esteem Scale (SES), Brief Illness Perception Questionnaire (BIPQ) and Social Support Rating Scale (SSRS). Results: The health-related hardiness score of diabetes patients was 115.88±16.51. Multivariate linear regression analysis showed that family per capita monthly income, diabetes related complications, self-esteem, illness perception and social support could predict the level of health-related hardiness, which could predict 46.1% of the total variation. Conclusion: The health-related hardiness of patients with diabetes needs improvement. Medical staff should pay more attention to the patients with low family per capita monthly income and diabetes related complications, pay attention to improving patients' self-esteem and social support, and reduce patients' negative perception of illness, so as to improve their health-related hardiness.

Key words: Diabetes, Health-related hardiness, Self-esteem, Illness perception, Social support

摘要： 目的：探讨糖尿病患者健康坚韧性现状及其影响因素。方法：采用一般情况调查表、健康坚韧性量表、自尊量表、简易疾病感知问卷和社会支持评定量表对350例2型糖尿病患者进行调查。结果：糖尿病患者健康坚韧性得分（115.88±16.51）分；多元线性回归分析显示，家庭人均月收入、糖尿病相关并发症、自尊、疾病感知及社会支持能够预测健康坚韧性水平，可预测总变异的46.1%。结论：糖尿病患者健康坚韧性水平有待提高，医护人员应给予家庭人均月收入低、存在糖尿病相关并发症的患者更多关注，重视提高患者自尊水平和社会支持水平，并降低其疾病负性感知水平，从而提高其健康坚韧性。

关键词: 糖尿病, 健康坚韧性, 自尊, 疾病感知, 社会支持