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目的:探讨伴有抑郁的2型糖尿病患者生活质量及家庭功能特征。方法:采用生活质量量表(QLESQ)、家庭功能量表(FAD)以及贝克抑郁量表(BDI)对50例2型糖尿病患者(糖尿病组)及50名正常人(正常对照组)进行调查。结果:38%(19/50例)的2型糖尿病患者伴有抑郁。糖尿病组FAD评分中情感卷入及行为控制维度在不健康家庭功能范围内;QLESQ总分(32.49±5.86)分明显低于正常对照组(37.76±5.38)分(P<0.01)。糖尿病组FAD的问题解决、角色和情感卷入维度与抑郁症状呈正相关(r分别=0.426、0.339、0.454,P<0.05或P<0.01);QLESQ总分与家庭功能的角色和行为控制维度呈负相关(r分别=-0.292、-0.344,P<0.01)。结论:伴发抑郁的2型糖尿病患者生活质量差且家庭功能有缺陷。
Objective: To investigate the quality of life and family functioning characteristics of type 2 diabetic patients with depression. Methods: Fifty patients with type 2 diabetes mellitus (DM) and 50 normal controls (normal control group) were investigated by QOLQQQQ, QOLQQQQQQQ, Results: 38% (19/50) of type 2 diabetic patients had depression. The dimensions of affective involvement and behavioral control in FAD score of diabetic group were in the range of unhealthy family function. The score of QLESQ (32.49 ± 5.86) was significantly lower than that of normal control group (37.76 ± 5.38) (P <0.01). There was a positive correlation between FAD and depression dimensions in diabetic patients (r = 0.426,0.339,0.454, P <0.05 or P <0.01, respectively). The role and behavior control dimensions of QOLQQ score and family function were Negative correlations (r = -0.292, -0.344, P <0.01, respectively). Conclusions: Patients with type 2 diabetes mellitus and depression have poor quality of life and family functioning deficits.