目的 探讨2型糖尿病患者自我隐瞒现状并分析其影响因素。方法 采用一般情况调查表、自我隐瞒量表、自尊量表及社会支持评定量表对156例2型糖尿病患者进行调查。结果 2型糖尿病患者自我隐瞒得分为（35.15±4.61）分;以自我隐瞒为因变量,自变量中文化程度（β=-0.188）、居住状态（β=0.121）、合并其他慢性病（β=-0.180）、自尊（β=-0.347）、社会支持（β=-0.397）进入回归方程,可解释总变异的49.7%（F=31.687,P<0.001）。 结论 2型糖尿病患者自我隐瞒处于中等偏高水平。医务人员应根据2型糖尿病患者情况实施个体化干预,致力于提高患者的自尊水平和社会支持水平,从而降低患者的自我隐瞒水平。

Objective To explore the current status of self-concealment in patients with type 2 diabetes and to analyze its influencing factors. Methods A total of 168 patients with type 2 diabetes were investigated using the Self-Concealment Scale（SCS）,Self-Esteem Scale（SES）and Social Support Rating Scale（SSRS）. Results The self-concealment score of patients with type 2 diabetes was（35.15±4.61）. Education level,living status,comorbidity,self-esteem,and social support were the main influencing factors of self-concealment in patients with type 2 diabetes,which could explain 49.7% of the total variation. Conclusion The self-concealment in patients with type 2 diabetes is at a moderately high level. Health workers should implement individualized interventions according to the situation of patients with type 2 diabetes,and strive to improve the level of self-esteem and social support of patients,thereby to reduce the level of self-concealment of patients.