比较分析一组 1 型和 2 型糖尿病患者的情绪因素与生活质量之间的关系-初步报告。

Comparative assessment of the relationship between emotional factors and quality of life in a group of patients with type 1 and type 2 diabetes - preliminary report.

机构信息

Katedra i Oddział Kliniczny Psychiatrii, Wydział Nauk Medycznych w Zabrzu, Śląski Uniwersytet Medyczny w Katowicach.

Studenckie Koło Naukowe przy Katedrze i Oddziale Klinicznym Psychiatrii, Wydział Nauk Medycznych w Zabrzu, Śląski Uniwersytet Medyczny w Katowicach.

出版信息

Psychiatr Pol. 2022 Feb 27;56(1):123-135. doi: 10.12740/PP/OnlineFirst/122461.

DOI:10.12740/PP/OnlineFirst/122461

PMID:35569153

Abstract

OBJECTIVES

To assess the relationship between selected parameters of the mental state and the quality of life of patients with diabetes.

METHODS

The study included 51 patients with type 1 diabetes and 52 patients with type 2 diabetes. The following scales were used in the study: quality of life SF-36, Acceptance of llness Scale (AIS), Hospital Anxiety and Depression Scale (HADS) and Satisfaction with Life Scale (SWLS).

RESULTS

Patients with type 2 diabetes achieved lower values than patients with type 1 diabetes only in the domain of physical functioning of the SF-36 scale (p = 0.001). Assessing the relationship between the studied parameters, it was shown that the duration of the disease was associated with a worse overall health rating (p = 0.036) among patients with type 1 diabetes. However, among patients with type 2 diabetes the duration of the disease correlated negatively with physical functioning (p = 0.002), physical functioning in social roles (p = 0.001) and physical pain (p = 0.047) as well as life satisfaction (p = 0.012) and positively with the results of glycated haemoglobin (p = 0.04). Among patients with type 1 diabetes, the level of depression negatively correlated with the level of acceptance of the disease (p = 0.0009) and life satisfaction (p = 0.006), while the level of anxiety only with the level of acceptance of the disease (p = 0.0004), and a greater severity of anxiety was associated with worse metabolic control (p = 0.02). In the group of patients with type 2 diabetes, the level of anxiety negatively correlated with the level of acceptance of the disease (p = 0.003).

CONCLUSIONS

Due to the numerous limitations of chronic disease, more attention should be paid to the quality of life and mental state of patients diagnosed with diabetes, and assessment of the above parameters should be included in the therapeutic process.

摘要

目的

评估心理状态的选定参数与糖尿病患者生活质量之间的关系。

方法

该研究纳入了 51 例 1 型糖尿病患者和 52 例 2 型糖尿病患者。研究中使用了以下量表：生活质量 SF-36 量表、疾病接受度量表（AIS）、医院焦虑抑郁量表（HADS）和生活满意度量表（SWLS）。

结果

2 型糖尿病患者仅在 SF-36 量表的身体功能领域的评分低于 1 型糖尿病患者（p = 0.001）。评估研究参数之间的关系表明，1 型糖尿病患者的疾病持续时间与整体健康评分较差相关（p = 0.036）。然而，在 2 型糖尿病患者中，疾病持续时间与身体功能（p = 0.002）、身体角色的身体功能（p = 0.001）和身体疼痛（p = 0.047）以及生活满意度（p = 0.012）呈负相关，与糖化血红蛋白的结果呈正相关（p = 0.04）。1 型糖尿病患者的抑郁水平与疾病接受度（p = 0.0009）和生活满意度（p = 0.006）呈负相关，而焦虑水平仅与疾病接受度（p = 0.0004）呈负相关，且焦虑严重程度与代谢控制较差相关（p = 0.02）。在 2 型糖尿病患者中，焦虑水平与疾病接受度呈负相关（p = 0.003）。