Department of Development of Nursing and Social & Medical Sciences, Medical University of Warsaw, 01-445 Warsaw, Poland.
Department of Basic Nursing and Medical Teaching, Chair of Development in Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland.
Int J Environ Res Public Health. 2020 May 19;17(10):3553. doi: 10.3390/ijerph17103553.
A sharp rise in the population of elderly people, who are more prone to somatic and mental diseases, combined with the high prevalence of type 2 diabetes mellitus and diabetes-associated complications in this age group, have an impact on the prevalence of depressive symptoms. The work of the study was the evaluation of the prevalence of depressive symptoms in the elderly population diagnosed with type 2 diabetes mellitus. The pilot study was conducted in 2019 among 200 people diagnosed with type 2 diabetes mellitus, aged 65 years and above, receiving treatment in a specialist diabetes outpatient clinic. The study was based on a questionnaire aimed at collecting basic sociodemographic and clinical data and the complete geriatric depression scale (GDS, by Yesavage) consisting of 30 questions. The study involved 200 patients receiving treatment in a diabetes outpatient clinic. The mean age of the study subjects was 71.4 ± 5.0 years. The vast majority of the subjects (122; 61%) were women, with men accounting for 39% of the study population (78 subjects). A statistically significant difference in the GDS ( < 0.01) was shown for marital status, body mass index (BMI), duration of diabetes, and the number of comorbidities. Patients with results indicative of symptoms of mild and severe depression were found to have higher BMI, longer disease duration, and a greater number of comorbidities. There were no statistically significant differences in the level of HbA1c. In order to verify the presence of depressive symptoms in the group of geriatric patients with diabetes mellitus, an appropriate screening programme must be introduced to identify those at risk and refer them to specialists, so that treatment can be promptly initiated. Screening tests conducted by nurses might help with patient identification.
人口老龄化急剧上升,老年人更容易患有躯体和精神疾病,加上该年龄段 2 型糖尿病和糖尿病相关并发症的高发率,对抑郁症状的流行产生了影响。本研究的工作是评估诊断为 2 型糖尿病的老年人群中抑郁症状的流行率。该初步研究于 2019 年在一家专科糖尿病门诊接受治疗的 200 名年龄在 65 岁及以上的诊断为 2 型糖尿病的人群中进行。该研究基于旨在收集基本社会人口学和临床数据的问卷和由 Yesavage 编制的完整老年抑郁量表(GDS),共 30 个问题。该研究涉及在糖尿病门诊接受治疗的 200 名患者。研究对象的平均年龄为 71.4 ± 5.0 岁。绝大多数研究对象(122 人;61%)为女性,男性占研究人群的 39%(78 人)。在 GDS(<0.01)方面,婚姻状况、体重指数(BMI)、糖尿病病程和合并症数量存在统计学显著差异。有轻度和重度抑郁症状的患者的 BMI 更高、病程更长、合并症更多。HbA1c 水平无统计学显著差异。为了验证患有糖尿病的老年患者群体中是否存在抑郁症状,必须引入适当的筛查计划以识别高危人群并将其转介给专家,以便及时开始治疗。护士进行的筛查测试可能有助于识别患者。