论文部分内容阅读
目的了解T2DM患者抑郁发生状况及对生命质量的影响,为制定糖尿病的健康教育和干预措施提供依据。方法采用病例对照研究方法,以SF-36量表和抑郁自评量表分别对T2DM患者和非糖尿病患者的生命质量和抑郁状况进行评分。结果T2DM伴发抑郁的发生率为32.50%,与对照组比较有统计学意义(χ2=34.61,P<0.01)。病程、血糖控制不良、不运动和患有其他并发症是T2DM伴发抑郁症的危险因素,年龄和家庭收入状况是保护性因素。T2DM患者生命质量的八个维度及总分均低于对照组(P值均小于0.05)。除生理功能外,T2DM伴发抑郁与未伴发抑郁生命质量的其他七个维度和总分有统计学意义(P值均小于0.01)。结论T2DM伴发抑郁的发生率为32.50%。T2DM伴发抑郁的生存质量比未伴发抑郁者差。
Objective To understand the status of depression and its impact on the quality of life in patients with T2DM and provide the basis for developing health education and interventions for diabetes mellitus. Methods A case-control study was conducted to evaluate the quality of life and depression of patients with T2DM and non-diabetic patients by SF-36 scale and depression self-rating scale respectively. Results The incidence of T2DM with depression was 32.50%, which was statistically significant compared with the control group (χ2 = 34.61, P <0.01). Course of disease, poor glycemic control, non-exercise and other complications are risk factors for T2DM with depression, age and family income status are protective factors. Eight dimensions and overall scores of quality of life in patients with T2DM were lower than those in the control group (P <0.05). In addition to physiological function, the other seven dimensions and the total score of T2DM with depression and uncomplicated depression quality of life were statistically significant (P values were less than 0.01). Conclusions The incidence of T2DM with depression is 32.50%. The quality of life of T2DM with depression was worse than that of non-associated depression.