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2型糖尿病患者的抑郁与生活质量

Depression and Quality of Life in Patients With Type 2 Diabetes.

作者信息

Derakhshanpour Firooze, Vakili Mohammad Ali, Farsinia Maryam, Mirkarimi Kamal

机构信息

Golestan Psychiatric Research Center, Golestan University of Medical Sciences, Gorgan, IR Iran.

Department of Health and Social Medicine, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, IR Iran.

出版信息

Iran Red Crescent Med J. 2015 May 20;17(5):e27676. doi: 10.5812/ircmj.17(5)2015.27676. eCollection 2015 May.

Abstract

BACKGROUND

Frequency of mood disorders in patients with chronic diseases, especially diabetes and its effects on life quality are dramatically increasing.

OBJECTIVES

This study aimed to investigate the relation between depression and quality of life in patients with diabetes.

PATIENTS AND METHODS

This is a cross sectional survey. Subjects were selected from 330 eligible people referred to the only diabetes clinic in Gorgan City during 6 months, using systematic random sampling. Beak Depression questionnaire and the brief questioner with 26 questions recommended by the World Health Organization (WHOQOL-BREF) were used to measure depression and quality of life, respectively. Data were analyzed through descriptive methods, Chi-square, Independent t test and linear regression model using SPSS16; moreover, P value < 0.05 was considered as significant.

RESULTS

In total, 330 patients with diabetes (35.5 % male and 64.5% women) were studied. The mean and standard deviation of their age and years involved with diabetes were 50.6 ± 9.0 and 5.4 ± 4.5 years, respectively. Range of age was 25 - 75 years, as well. The prevalence of depression in all patients with diabetes was 58.2% (124 mild, 56 medium, and 12 with severe depression). Hypertension was 13.9% more in diabetic patients with depression (P value < 0.001) and physical activity in 24.7% of the cases was less with a meaningful difference (P value = 0.01). The mean and standard deviation of quality of life in diabetic patients with and without depression was 50.7 ± 14 and 60.5 ± 13.3, respectively that was significant in two groups (P < 0.0001).

CONCLUSIONS

The prevalence of depression is high in patients with diabetes and has a considerable impact on the consequences of diabetes and quality of life too.

摘要

背景

慢性病患者,尤其是糖尿病患者中情绪障碍的发生率及其对生活质量的影响正在急剧上升。

目的

本研究旨在调查糖尿病患者抑郁与生活质量之间的关系。

患者与方法

这是一项横断面调查。通过系统随机抽样从6个月内转诊至戈尔甘市唯一一家糖尿病诊所的330名符合条件的人中选取研究对象。分别使用贝克抑郁问卷和世界卫生组织推荐的26个问题的简短问卷(WHOQOL-BREF)来测量抑郁和生活质量。使用SPSS16通过描述性方法、卡方检验、独立t检验和线性回归模型对数据进行分析;此外,P值<0.05被认为具有统计学意义。

结果

共研究了330例糖尿病患者(男性占35.5%,女性占64.5%)。他们的年龄和患糖尿病的年限的平均值及标准差分别为50.6±9.0岁和5.4±4.5年。年龄范围也为25 - 75岁。所有糖尿病患者中抑郁症的患病率为58.2%(轻度124例,中度56例,重度12例)。抑郁的糖尿病患者中高血压的发生率高13.9%(P值<0.001),24.7%的患者身体活动较少,差异有统计学意义(P值 = 0.01)。有抑郁和无抑郁的糖尿病患者生活质量的平均值及标准差分别为50.7±14和60.5±13.3,两组间差异有统计学意义(P < 0.0001)。

结论

糖尿病患者中抑郁症的患病率很高,并且对糖尿病的后果和生活质量也有相当大的影响。

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