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焦虑和抑郁对2型糖尿病患者的影响患病率:印度尼西亚西龙目岛城市地区改善贫困家庭生活质量的卫生政策研究分析

Prevalence of the Effects of Anxiety and Depression on People with Type 2 Diabetes Mellitus: An Analysis of Health Policy Studies in Improving the Quality of Life of Poor Families in the Urban Areas of West Lombok, Indonesia.

作者信息

Nasirin Chairun, Lionardo Andries

机构信息

College of Health Sciences (STIKES) Mataram, Mataram, Indonesia.

Sriwijaya University, Palembang, Indonesia.

出版信息

Curr Diabetes Rev. 2020;16(9):1002-1010. doi: 10.2174/1573399816666200802183738.

Abstract

BACKGROUND

To explore the tendency of the effects of anxiety and depression that occur in type 2 diabetes patients, especially poor patients who live in the urban areas with poor economic conditions, who do not have health access from the government, and live away from the hospitals.

METHODS

It is a cross-sectional study which aimed to determine the number of patients who experienced anxiety and depression problems due to the declining health conditions caused by diabetes. A sample size of 98 diabetics experiencing anxiety and depression when the treatment was carried out was included. The study design included a qualitative study with in-depth interviews with respondents who were at risk of diabetes, as well as to determine the level of anxiety and depression that occurred when medical care was provided and the feelings experienced by the respondents after the completion of treatment.

RESULTS

Diabetic patients are generally unaware that their illness is a chronic disease that takes a long time to treat. When the patients are sick, most of them do not immediately go to the hospital or a specialist to get their health examination and treatment, because the hospital is far from the patients' residence. Furthermore, some patients still use traditional medicine and non-medical treatment, so when the patients with critical conditions are taken to the hospital, they already have chronic diabetes.

CONCLUSION

The lack of access to health for chronic patients with poor economic conditions who live far from the hospitals and the scarcity of medical staff to carry out treatment of chronic diseases such as diabetes for poor patients in urban areas certainly have an impact on increasing the number of patients with chronic diseases. Therefore, the government is expected to be able to provide easy health policies to remote rural communities in order to achieve optimal community welfare and health.

摘要

背景

探讨2型糖尿病患者,尤其是居住在经济条件差的城市地区、无法获得政府医疗保障且远离医院的贫困患者中焦虑和抑郁症状的发生趋势。

方法

这是一项横断面研究,旨在确定因糖尿病导致健康状况下降而出现焦虑和抑郁问题的患者数量。纳入了98名在治疗时出现焦虑和抑郁的糖尿病患者。研究设计包括对有糖尿病风险的受访者进行深入访谈的定性研究,以及确定提供医疗服务时出现的焦虑和抑郁水平,以及受访者在治疗结束后的感受。

结果

糖尿病患者通常未意识到自己的疾病是一种需要长期治疗的慢性病。患者生病时,大多数人不会立即前往医院或找专科医生进行健康检查和治疗,因为医院离患者住所较远。此外,一些患者仍使用传统药物和非医疗疗法,所以当病情危急的患者被送往医院时,他们已经患有慢性糖尿病。

结论

经济条件差且居住远离医院的慢性病患者难以获得医疗服务,以及城市地区缺乏医务人员为贫困患者开展糖尿病等慢性病治疗,肯定会影响慢性病患者数量的增加。因此,期望政府能够为偏远农村社区提供便捷的医疗政策,以实现社区福利和健康的最优化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f408/8193806/b39dc1b872ef/CDR-16-1002_F1.jpg

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