Pouwer François, Beekman Aartjan T F, Lubach Caroline, Snoek Frank J
Department of Medical Psychology, Institute for Research in Extramural Medicine (EMGO), Vrije Universiteit Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
Patient Educ Couns. 2006 Feb;60(2):235-40. doi: 10.1016/j.pec.2005.01.009.
The aim of this study was to investigate how often emotional problems were recognized and registered by diabetes nurses.
We studied medical charts and questionnaire data of 112 diabetes patients. The hospital anxiety, depression scale and the problem areas in diabetes survey were used to measure anxiety, depression and diabetes-specific emotional distress.
In patients with moderate to severe levels of anxiety or depression, the presence of an emotional problem was recorded in the medical chart in 20-25% of the cases. The registration-rate of diabetes-specific emotional distress was also found to be low, ranging from 0% (treatment-related problems) to 29% (diabetes-related emotional problems).
Registration-rates of emotional problems by diabetes nurses were found to be low, but quite similar to detection rates of physicians and nurses in studies with non-diabetic samples.
These findings suggest that recognition-rates of emotional problems in diabetes patients need to be increased. Future studies should investigate whether recognition and subsequent treatment of emotional problems in diabetes patients can be facilitated by utilizing validated, standardized self-report questionnaires.
本研究旨在调查糖尿病护理人员识别和记录情感问题的频率。
我们研究了112名糖尿病患者的病历和问卷调查数据。使用医院焦虑抑郁量表和糖尿病调查中的问题领域来测量焦虑、抑郁和糖尿病特异性情绪困扰。
在中度至重度焦虑或抑郁患者中，病历中记录有情感问题的病例占20%-25%。糖尿病特异性情绪困扰的记录率也很低，从0%（与治疗相关的问题）到29%（与糖尿病相关的情感问题）不等。
发现糖尿病护理人员对情感问题的记录率较低，但与非糖尿病样本研究中医生和护士的检测率相当。
这些发现表明，需要提高糖尿病患者情感问题的识别率。未来的研究应调查使用经过验证的标准化自我报告问卷是否有助于识别和后续治疗糖尿病患者的情感问题。
