糖尿病教育改善 2 型糖尿病新诊断患者的抑郁状态。
Diabetes education improves depressive state in newly diagnosed patients with type 2 diabetes.
机构信息
Bin Chen, Department of Endocrinology and Metabolism, The Military General Hospital of Beijing PLA, Beijing 100700, China.
Xiyao Zhang, Department of Endocrinology and Metabolism, The 2nd Hospital affiliated to Harbin Medical University, No. 246 of Nangang, District, Harbin 150080, China.
出版信息
Pak J Med Sci. 2013 Sep;29(5):1147-52. doi: 10.12669/pjms.295.3573.
OBJECTIVES
The prevalence of depression is relatively high in individuals with diabetes. However, screening and monitoring of depressive state in patients with diabetes is still neglected in developing countries and the treatment of diabetes-related depression is rarely performed in these countries. In this study, our aim was to study the role of diabetes education in the improvement of depressive state in newly diagnosed patients with type 2 diabetes.
METHODS
The Dutch version of the center for epidemiological studies depression scale (CES-D scale) and the problem areas in diabetes (PAID) questionnaire were used to assess depression and diabetes-specific emotional distress in 1200 newly diagnosed male adult patients with type 2 diabetes before and after a two-week diabetes education by professionally trained nurses. Pearson correlation and regression analysis were used to analyze the factors related to depression in patients with type 2 diabetes.
RESULTS
The incidence of depression in newly diagnosed patients with type 2 diabetes was 28%, and the rate of diabetes-specific emotional distress was 65.5%. High education levels, low income were correlated to depression in individuals with diabetes. After two weeks of diabetes education, the incidence of depression and diabetes-specific emotional distress decreased significantly to 20.5% (P < 0.05) and 11% (P < 0.001), respectively.
CONCLUSIONS
The incidence of depression, especially diabetes-specific emotional distress, was relatively high in newly diagnosed patients with type 2 diabetes. The depression state could be improved by diabetes education.
目的
糖尿病患者中抑郁的患病率相对较高。然而，在发展中国家，对糖尿病患者抑郁状态的筛查和监测仍被忽视，这些国家很少对糖尿病相关的抑郁症进行治疗。在这项研究中，我们的目的是研究糖尿病教育在改善 2 型糖尿病新诊断患者抑郁状态中的作用。
方法
使用荷兰版流行病学研究抑郁量表（CES-D 量表）和糖尿病特定情感困扰量表（PAID）评估 1200 名新诊断的 2 型糖尿病成年男性患者在接受专业护士两周糖尿病教育前后的抑郁和糖尿病特定情感困扰。采用 Pearson 相关分析和回归分析来分析 2 型糖尿病患者抑郁相关的因素。
结果
新诊断的 2 型糖尿病患者的抑郁发生率为 28%，糖尿病特定情感困扰的发生率为 65.5%。高教育水平、低收入与糖尿病患者的抑郁相关。经过两周的糖尿病教育，抑郁和糖尿病特定情感困扰的发生率分别显著下降至 20.5%（P<0.05）和 11%（P<0.001）。
结论
新诊断的 2 型糖尿病患者中，抑郁，尤其是糖尿病特定情感困扰的发生率相对较高。糖尿病教育可以改善抑郁状态。
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