糖尿病患者共病抑郁症与医疗保健利用率增加
Comorbid depression and increased health care utilisation in individuals with diabetes.
作者信息
Subramaniam Mythily, Sum Chee Fang, Pek Elaine, Stahl Dorit, Verma Swapna, Liow Pei Hsiang, Chua Hong Choon, Abdin Edimansyah, Chong Siow Ann
机构信息
Institute of Mental Health, Singapore 539747, Singapore.
出版信息
Gen Hosp Psychiatry. 2009 May-Jun;31(3):220-4. doi: 10.1016/j.genhosppsych.2009.01.001. Epub 2009 Feb 20.
OBJECTIVE
The objective of this study was to examine the extent of health care utilisation (excluding costs) of diabetic patients with and without depressive symptoms attending a specialist clinic in Singapore.
METHODS
A total of 537 Asian outpatients (aged 21 years and above) who were attending a Diabetes Centre were recruited on a consecutive basis between August 2006 and February 2007. Sociodemographic data, clinical and health care utilisation data were collected from the participants. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale.
RESULTS
Individuals with depressive symptoms, on average, had more hospitalizations and hospitalization days. Those with depression reported losing significantly more working days as compared to the nondepressed individuals (1.9 vs. 1.4, P=.001).
CONCLUSIONS
Our findings in this population suggest that the presence of depressive symptoms has an independent effect on the greater utilization of medical services.
目的
本研究旨在调查新加坡一家专科诊所中伴有和不伴有抑郁症状的糖尿病患者的医疗保健利用程度（不包括费用）。
方法
2006年8月至2007年2月期间，连续招募了537名年龄在21岁及以上、前往糖尿病中心就诊的亚洲门诊患者。收集了参与者的社会人口统计学数据、临床数据和医疗保健利用数据。使用流行病学研究中心抑郁量表评估抑郁症状。
结果
伴有抑郁症状的个体平均住院次数和住院天数更多。与无抑郁症状的个体相比，患有抑郁症的个体报告的工作日损失显著更多（1.9天对1.4天，P = 0.001）。
结论
我们在该人群中的研究结果表明，抑郁症状的存在对医疗服务的更多利用具有独立影响。
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