沙特阿拉伯吉赞省糖尿病患者抑郁症的患病率及相关因素：一项横断面研究
Prevalence and Associated Factors of Depression among Patients with Diabetes at Jazan Province, Saudi Arabia: A Cross-Sectional Study.
作者信息
Madkhali Jnadi M, Hakami Ammar A, Dallak Ali H, Hakami Ramzi M, Yatimi Abdullah A, Hamdi Mohmmed E, Bakkari Hisham A, Kariri Khalil I, Abiri Jubran M, Ahmed Anas E, Mashi Abdulrahman H
机构信息
Medical Student, College of Medicine, Jazan University, Jazan, Saudi Arabia.
Medical Intern, Jazan University, Jazan, Saudi Arabia.
出版信息
Psychiatry J. 2019 Jan 16;2019:6160927. doi: 10.1155/2019/6160927. eCollection 2019.
CONTEXT
Patients with diabetes mellitus (DM) have a poorer quality of life when compared with patients without DM. In fact, one in every five diabetic patients suffers from comorbid depression, which can lead to poor management, poor compliance with treatment, and low quality of life. Therefore, we assessed the prevalence of depression and identified its associated factors among diabetic patients at Jazan Province, KSA.
METHODS AND MATERIALS
A cross-sectional study was conducted among 500 diabetic patients attending a diabetic center in addition to four primary healthcare centers. We used a simple Arabic translation of the Beck Depression Inventory (BDI II) tool to evaluate the depression level among the subjects. We also evaluated the frequencies of certain sociodemographic characteristics and clinical information. Moreover, we performed univariate and multivariate analyses to identify the potential risk factors using adjusted odds ratios (AORs).
RESULTS
The prevalence of depression among DM patients was 20.6%. The majority of patients showed no depression (N = 285, 59.4%), one-fifth had mild depression (N = 96, 20.0%), some (N = 55, 11.4%) had moderate depression, and some had severe depression (N = 44, 9.2%). Depression was significantly more prevalent among uneducated patients (N = 27, 31.8%) (X = 17.627, = 0.001) and patients with low monthly income (< 2500 SR/month) (N = 33, 22.8%) (X = 9.920, = 0.019). Hypertension (AOR = 2.531, 95% CI [1.454, 4.406]) and ischemic heart diseases (AOR = 3.892, 95% CI [1.995, 7.593]) were considered as risk factors for depression among diabetic patients.
CONCLUSIONS
Almost one in every five patients with DM is affected by depression coexisting with cardiovascular diseases. Therefore, screening for psychological problems, proper treatment, and educating patients with diabetes about DM self-management should be routine components of DM care.
背景
与非糖尿病患者相比，糖尿病患者的生活质量较差。事实上，每五名糖尿病患者中就有一人患有合并抑郁症，这可能导致管理不善、治疗依从性差和生活质量低下。因此，我们评估了沙特阿拉伯吉赞省糖尿病患者中抑郁症的患病率，并确定了其相关因素。
方法和材料
除了四个初级医疗保健中心外，还对500名前往糖尿病中心就诊的糖尿病患者进行了一项横断面研究。我们使用了贝克抑郁量表（BDI II）工具的简单阿拉伯语翻译版本来评估受试者的抑郁水平。我们还评估了某些社会人口学特征和临床信息的频率。此外，我们进行了单因素和多因素分析，以使用调整后的优势比（AOR）来确定潜在的风险因素。
结果
糖尿病患者中抑郁症的患病率为20.6%。大多数患者没有抑郁症（N = 285，59.4%），五分之一的患者有轻度抑郁症（N = 96，20.0%），一些患者（N = 55，11.4%）有中度抑郁症，还有一些患者有重度抑郁症（N = 44，9.2%）。抑郁症在未受过教育的患者（N = 27，31.8%）中更为普遍（X = 17.627，P = 0.001），以及月收入较低（< 2500沙特里亚尔/月）的患者（N = 33，22.8%）中更为普遍（X = 9.920，P = 0.019）。高血压（AOR = 2.531，95%可信区间[1.454，4.406]）和缺血性心脏病（AOR = 3.892，95%可信区间[1.995，7.593]）被认为是糖尿病患者抑郁症的风险因素。
结论
几乎每五名糖尿病患者中就有一人受到与心血管疾病共存的抑郁症的影响。因此，筛查心理问题、适当治疗以及对糖尿病患者进行糖尿病自我管理教育应成为糖尿病护理的常规组成部分。
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