Xiangya School of Nursing, Central South University, 172 Tongzipo Road, Changsha, 410013, Hunan, China.
Department of Ophthalmology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
BMC Ophthalmol. 2021 Mar 6;21(1):123. doi: 10.1186/s12886-021-01883-w.
This study aimed at investigating: 1) the relationship between self-care agency and depression and anxiety; 2) the sociodemographic and clinical factors associated with depression and anxiety in patients with diabetic retinopathy (DR) in China.
A cross-sectional study was conducted. One-hundred and five patients with DR were recruited. Self-care agency was assessed by the exercise of self-care agency (ESCA) scale. Depression and anxiety were assessed by the hospital anxiety and depression scale (HADS-D and HADS-A). Pearson or Spearman correlations were performed to assess the association between self-care agency and depression and anxiety. Stepwise multivariate linear regression analyses were conducted to assess the contribution of the sociodemographic and clinical factors to depression and anxiety.
Thirty-six (34.3%) and 43 (41.1%) patients exhibited depressive and anxiety symptoms, respectively. Only 24 (22.9%) patients showed a high self-care agency. The ESCA total and subscale scores were negatively correlated depressive symptoms (P < 0.05). Self-care skills were negatively correlated with anxiety symptoms (P < 0.05). ESCA total score, rural residence, history of hypertension and visual acuity were associated with depression; self-care skills and diastolic blood pressure were associated with anxiety.
Self-care agency negatively correlates with depression and anxiety in patients with DR. Special attention should be paid to patients living in rural areas and/or those having a history of hypertension when assessing depression and anxiety in patients with DR. Future studies are needed to clarify the causal relationship between self-care agency and depression and anxiety.
本研究旨在调查：1）自我护理能力与抑郁和焦虑的关系；2）与中国糖尿病视网膜病变（DR）患者抑郁和焦虑相关的社会人口学和临床因素。
进行了一项横断面研究。共招募了 105 名 DR 患者。采用自我护理能力量表（ESCA）评估自我护理能力。采用医院焦虑抑郁量表（HADS-D 和 HADS-A）评估抑郁和焦虑。采用 Pearson 或 Spearman 相关分析评估自我护理能力与抑郁和焦虑之间的关系。采用逐步多元线性回归分析评估社会人口学和临床因素对抑郁和焦虑的贡献。
36（34.3%）和 43（41.1%）名患者分别出现抑郁和焦虑症状。仅 24（22.9%）名患者表现出较高的自我护理能力。ESCA 总分和各分量表得分与抑郁症状呈负相关（P<0.05）。自我护理技能与焦虑症状呈负相关（P<0.05）。ESCA 总分、农村居住、高血压病史和视力与抑郁相关；自我护理技能和舒张压与焦虑相关。
DR 患者的自我护理能力与抑郁和焦虑呈负相关。在评估 DR 患者的抑郁和焦虑时，应特别关注居住在农村地区和/或有高血压病史的患者。需要进一步的研究来阐明自我护理能力与抑郁和焦虑之间的因果关系。
