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目的探讨2型糖尿病患者抑郁的患病率以及和抑郁相关的危险因素。方法采取问卷调查法,对476例糖尿病患者进行基本资料和Zung抑郁自评量表(SDS)调查。分析糖尿病患者抑郁的患病率、SDS评分以及糖尿病患者发生抑郁的危险因素。结果 476例糖尿病患者共发生抑郁症状247例,发生率为51.89%。SDS评分(56.57±10.2)分,明显高于国内常模(41.24±9.7)分,差异有统计学意义(t=14.32,P<0.05);Logistic回归分析显示,年龄,性别,收入,受教育程度,生活方式干预,药物治疗方式,患者依从性及有无并发症是糖尿病患者发生抑郁的独立危险因素。结论抑郁在2型糖尿病患者中普遍存在,临床实践中应重视对抑郁的筛查,并进行针对性干预,从而减少抑郁患病率,提高患者的生活质量。
Objective To investigate the prevalence of depression and the risk factors associated with depression in type 2 diabetic patients. Methods A questionnaire survey was conducted to investigate 476 diabetes patients and Zung depression self-rating scale (SDS). The prevalence of depression in patients with diabetes mellitus, SDS scores, and risk factors for depression in diabetic patients were analyzed. Results There were 247 cases of depression in 476 diabetic patients, the incidence was 51.89%. SDS score was 56.57 ± 10.2, which was significantly higher than that of the national norm (41.24 ± 9.7), the difference was statistically significant (t = 14.32, P <0.05); Logistic regression analysis showed that age, gender, income, education Degree, lifestyle intervention, drug treatment, patient compliance and the presence or absence of complications are independent risk factors for depression in diabetic patients. Conclusions Depression is common in patients with type 2 diabetes. In clinical practice, screening for depression should be emphasized and targeted interventions should be taken to reduce the prevalence of depression and improve the quality of life of patients.