Ghamri Ranya Alawy, Jabali Maryam Abdulhamid
Department of Family Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
J Microsc Ultrastruct. 2020 May 8;8(3):115-120. doi: 10.4103/JMAU.JMAU_68_19. eCollection 2020 Jul-Sep.
This study aimed to assess the relationship between depression and diabetes, especially with regard to diabetes self-care, treatment compliance, and preventive care.
This is a cross-sectional survey of adult diabetes patients at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. The Patient Health Questionnaire-9 was used to assess depression.
A total of 346 patients were included: 266 (77%) women and 80 (23%) men. While 20/3465 (59%) patients were on oral hypoglycemic drugs (OHA), 71/346 (20%) were on OHA + insulin and 70/346 (20%) were on insulin alone ( < 0.001). On binary logistic regression analysis, Saudi ethnicity, female sex, and age 18-29 years were more likely to be associated with depression ( < 0.001). Patients receiving treatment with OHA alone, eating a healthy diet at least once a week, consuming five servings of fruits/vegetables at least once a week, complying with antidiabetic and antihypertensive treatment, and receiving retinal examination in the previous year were less likely to have depression.
Depression in diabetes is more likely in patients of young age who do take care to eat a healthy diet or comply with advice regarding drug therapy, exercise, and follow-up examinations.
本研究旨在评估抑郁症与糖尿病之间的关系，尤其是在糖尿病自我护理、治疗依从性和预防保健方面。
这是一项对沙特阿拉伯吉达阿卜杜勒阿齐兹国王大学医院成年糖尿病患者的横断面调查。采用患者健康问卷-9来评估抑郁症。
共纳入346例患者：266例（77%）为女性，80例（23%）为男性。在346例患者中，20/346（5.9%）使用口服降糖药（OHA），71/346（20%）使用OHA + 胰岛素，70/346（20%）仅使用胰岛素（<0.001）。二元逻辑回归分析显示，沙特族裔、女性以及18 - 29岁的年龄与抑郁症的关联更为密切（<0.001）。仅接受OHA治疗、每周至少有一次健康饮食、每周至少食用五份水果/蔬菜、遵守抗糖尿病和抗高血压治疗以及上一年接受过视网膜检查的患者患抑郁症的可能性较小。
在糖尿病患者中，那些不注意健康饮食或不遵守药物治疗、运动及随访检查建议的年轻患者更易患抑郁症。
