School of Nursing, National Taipei University of Nursing and Health Sciences, Peitou 112, Taipei, Taiwan.
Int J Nurs Stud. 2011 Nov;48(11):1376-83. doi: 10.1016/j.ijnurstu.2011.04.008. Epub 2011 Jun 17.
Since psychosocial issues appear to be common among people with diabetes, addressing these problems may improve outcomes. Specifically, it is important to understand the factors associated with anxiety and depression in patients with diabetes.
The purpose of this study was to investigate the relationships between self-care behaviour, diabetes education difficulties, depression and anxiety among patients with type-2 diabetes in Taiwan.
This study was cross-sectional and consisted of descriptive statistics and correlations in terms of analyses.
Three teaching hospitals, one from each of the northern, middle and southern parts of Taiwan, were selected for data collection.
A total of 312 patients diagnosed with type-2 diabetes were recruited to participate in this study. The inclusion criteria of the study subjects included a diagnosis of type-2 diabetes beyond the age of 18 years and the ability to communicate in Mandarin.
Various questionnaires were used to assess demographic, disease characteristics, self-care behaviour, diabetes education difficulty, depression and anxiety data.
(1) Rates of disturbance for depression (10.6%) and anxiety (20.5%) among type-2 diabetes patients were lower than those in Western countries. (2) Anxiety was positively correlated with age (r=0.15, p<0.01), complications (r=0.27, p<0.01), diabetes education difficulty (r=0.39, p<0.01) and depression (r=0.54, p<0.01), but negatively correlated with body mass index (BMI) (r=0.20, p<0.01). (3) A total of 50.5% of variance in anxiety was explained by age, complications, BMI, diabetes education difficulty and depression. (4) A total of 42.8% of variance in depression was explained by BMI, diabetes education difficulty and anxiety.
Depression and anxiety are common among patients with diabetes and can have significant effects on the outcome of their medical illness. Addressing psychosocial factors of people with diabetes may improve effects of patient education and disease self-management.
由于心理社会问题似乎在糖尿病患者中很常见，因此解决这些问题可能会改善患者的预后。具体来说，了解与糖尿病患者焦虑和抑郁相关的因素非常重要。
本研究旨在探讨台湾 2 型糖尿病患者的自我护理行为、糖尿病教育困难、抑郁和焦虑之间的关系。
这是一项横断面研究，包括描述性统计和相关性分析。
从台湾北部、中部和南部各选择了一家教学医院进行数据收集。
共有 312 名被诊断为 2 型糖尿病的患者参加了这项研究。研究对象的纳入标准包括年龄超过 18 岁且能够使用普通话进行沟通。
使用各种问卷评估人口统计学、疾病特征、自我护理行为、糖尿病教育困难、抑郁和焦虑数据。
（1）2 型糖尿病患者的抑郁（10.6%）和焦虑（20.5%）发生率低于西方国家。（2）焦虑与年龄（r=0.15，p<0.01）、并发症（r=0.27，p<0.01）、糖尿病教育困难（r=0.39，p<0.01）和抑郁（r=0.54，p<0.01）呈正相关，与体重指数（BMI）呈负相关（r=0.20，p<0.01）。（3）焦虑的 50.5%可由年龄、并发症、BMI、糖尿病教育困难和抑郁解释。（4）抑郁的 42.8%可由 BMI、糖尿病教育困难和焦虑解释。
抑郁和焦虑在糖尿病患者中很常见，会对他们的疾病预后产生重大影响。解决糖尿病患者的心理社会因素可能会改善患者教育和疾病自我管理的效果。
