Abstract:Objective To investigate the rumination response of patients with type 2 diabetes mellitus (T2DM) and to analyze its influencing factors.Methods The cross-sectional research method,convenient sampling and questionnaire survey were used in the research.A total of 223 patients with T2DM in Beijing Chaoyang Hospital from April 2019 to May 2019 were selected.Pittsburgh sleep quality index (PSQI),diabetes distress scale(DDS),Connor-Davidson resilience scale (CD-RISC) and ruminative responses scale (RRS) were used to evaluate the sleep,diabetic pain,resilience and rumination responses respectively.Results There were 188 patients (84.3%) with low rumination level,27 patients (12.1%) with medium rumination level and 8 patients (3.6%) with high rumination level.Univariate analysis showed that the RRS score of patients was higher in women,age>35 years,senior high school/technical secondary school or below,family per capita monthly income ≤10 000 yuan,course of disease ≤15 years,fasting blood glucose ≥10 mmol/L,sleep disorder,moderate or severe diabetic pain,and low resilience ( P<0.05, P<0.01).Multivariate Logistic regression analysis showed that low education level ( P=0.046),high fasting blood glucose ( P=0.022) and poor sleep condition ( P=0.010) were the independent influencing factors of high level rumination response state.Conclusions The medium and high level of rumination response in patients with T2DM is 15.7%,which needs the attention and intervention of medical staff.Rumination response in patients with T2DM is affected by many factors,especially education level,fasting blood glucose and sleep status.