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新诊断糖尿病患者的社会支持:抑郁症的危险因素?

Social support in recently diagnosed diabetic patients: Risk factor for depression?

作者信息

Delgado-Galeano Mayut, Vera-Cala Lina-Maria

机构信息

Nursing School, Health Faculty. Universidad Industrial de Santander, Bucaramanga, Colombia.

Dean Health Faculty. Universidad Industrial de Santander, Bucaramanga, Colombia.

出版信息

J Public Health Res. 2024 Jun 24;13(2):22799036241262296. doi: 10.1177/22799036241262296. eCollection 2024 Apr.

DOI:10.1177/22799036241262296
PMID:39045604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11265234/
Abstract

social support is important for adaptation in chronic diseases, such as diabetes and depression, because it favors recovery and adherence to treatment. Introducing its evaluation in the follow-up of diabetic patients can reduce complications derived from secondary non-adherence. : to establish social support in diabetic patients and its correlation with depressive symptoms. : a cross-sectional analytical study nested in a cohort of 173 recently diagnosed diabetic patients (<6 months) in Colombia over 18 years of age, treated in a cardiovascular risk program in 2022. The Chronic Illness Social Support Inventory was used. Most of the participants were women (77.5%); single(83.8%), age (mean = 62.6 years (SD 12.3)); glycemia (mean = 146.4 (SD 65.5)), glycosylated hemoglobin (mean = 7.6 (SD 1.7)). Cronbach's α coefficient for the general scale of the social support instrument was 0.9859. The mean social support was 168.5 (SD 37.4), range 38-228. The total social support score was normally distributed (Shapiro Wilk p > 0.05). The correlation between domains was statistically significant. The PHQ9 total score was significantly associated with the domains of Personal Interaction and Guide but did not significantly correlate with the overall social support score. The respondents who were at risk of developing depression were referred for treatment. findings suggest that perceived social support may play a significant role in the prevention and treatment of depression in diabetic patients. It is desirable that health professionals consider evaluating and enhancing social support to improve their mental health. More research is needed to gain a comprehensive understanding of this relationship.

摘要

社会支持对于慢性病(如糖尿病和抑郁症)的适应很重要,因为它有利于康复和坚持治疗。在糖尿病患者的随访中引入社会支持评估可以减少因继发性不依从导致的并发症。:确定糖尿病患者的社会支持及其与抑郁症状的相关性。:一项横断面分析研究,纳入了2022年在哥伦比亚一个心血管风险项目中接受治疗的173名18岁以上最近诊断为糖尿病(<6个月)的患者队列。使用了慢性病社会支持量表。大多数参与者为女性(77.5%);单身(83.8%),年龄(平均=62.6岁(标准差12.3));血糖(平均=146.4(标准差65.5)),糖化血红蛋白(平均=7.6(标准差1.7))。社会支持工具总体量表的克朗巴哈α系数为0.9859。平均社会支持得分为168.5(标准差37.4),范围为38 - 228。社会支持总分呈正态分布(夏皮罗-威尔克检验p>0.05)。各领域之间的相关性具有统计学意义。PHQ9总分与人际互动和指导领域显著相关,但与总体社会支持得分无显著相关性。有抑郁风险的受访者被转介接受治疗。研究结果表明,感知到的社会支持可能在糖尿病患者抑郁症的预防和治疗中发挥重要作用。健康专业人员应考虑评估和增强社会支持以改善患者心理健康。需要更多研究来全面理解这种关系。

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本文引用的文献

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Association between social supports and depression among patients with diabetes mellitus in Ethiopia: a systematic review and meta-analysis.社会支持与埃塞俄比亚糖尿病患者抑郁的关系:系统评价和荟萃分析。
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