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2型糖尿病患者疾病接纳度、抑郁状况及生活质量的评估

EVALUATION OF DISEASE ACCEPTANCE, DEPRESSION, AND QUALITY OF LIFE IN PEOPLE WITH TYPE 2 DIABETES MELLITUS.

作者信息

Ozyalcin B, Sanlier N

机构信息

Ankara Medipol University - Nutrition and Dietetic, Ankara, Turkey.

出版信息

Acta Endocrinol (Buchar). 2022 Oct-Dec;18(4):474-479. doi: 10.4183/aeb.2022.474.

Abstract

CONTEXT

Diabetes is a serious public health problem that is increasing worldwide.

OBJECTIVES

The aim of this study is to evaluate acceptance of the illness, emotional distress, depression and quality of life in individuals with type 2 diabetes mellitus.

SUBJECTS AND METHODS

This study was conducted in 145 individuals with type 2 diabetes mellitus, 73 males (50.3%) and 72 females (49.7%), ranging in age from 20 to 65 years old. Research data were collected using the face-to-face interview technique by the researchers. The Acceptance of Illness Scale for the determination of individuals' acceptance of the illness, Problem Areas in Diabetes Scale for emotional distress, Beck Depression Inventory for depression and Short Form-36 scales for quality of life was used.

RESULTS

The mean score of individuals' Acceptance of Illness Scale was 30.2±5.62. Compared to women, men had lower emotional distress, depression levels (p<0.05), higher physical, mental quality of life (p<0.001). Correlations among acceptance of illness, emotional distress, depression and quality of life were found to be significant (p<0.05). Also, models of multiple linear regression analysis were statistically significant (p=0.000).

CONCLUSIONS

The main goal in the treatment of diabetes should be to eliminate complaints in patients, to reduce, prevent or delay the development of complications, to increase the quality of life, to ensure that the individual has a physically, emotionally, spiritually and mentally regular life in addition to metabolic control. For this reason, it is beneficial to carry out the treatment with a multidisciplinary approach in type 2 diabetes mellitus.

摘要

背景

糖尿病是一个严重的公共卫生问题,在全球范围内呈上升趋势。

目的

本研究旨在评估2型糖尿病患者对疾病的接受程度、情绪困扰、抑郁及生活质量。

对象与方法

本研究纳入了145例2型糖尿病患者,其中男性73例(50.3%),女性72例(49.7%),年龄在20至65岁之间。研究数据由研究人员采用面对面访谈技术收集。使用疾病接受量表来确定个体对疾病的接受程度,糖尿病问题领域量表评估情绪困扰,贝克抑郁量表评估抑郁,简短健康调查量表评估生活质量。

结果

个体疾病接受量表的平均得分为30.2±5.62。与女性相比,男性的情绪困扰和抑郁水平较低(p<0.05),身体和心理健康生活质量较高(p<0.001)。发现疾病接受程度、情绪困扰、抑郁与生活质量之间的相关性具有统计学意义(p<0.05)。此外,多元线性回归分析模型具有统计学意义(p=0.000)。

结论

糖尿病治疗的主要目标应是消除患者的不适,减少、预防或延缓并发症的发生发展,提高生活质量,并确保个体除代谢控制外,在身体、情感、精神和心理方面过上规律的生活。因此,对2型糖尿病采用多学科方法进行治疗是有益的。

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