摘要
目的探讨大理地区白族人群2型糖尿病患者合并抑郁症的患病率,并对其相关影响因素进行分析,为预防和干预2型糖尿病合并抑郁提供观点及依据。方法采用横断面调查,对2017年1月—2019年6月在大理州人民医院内分泌科住院确诊的338例白族2型糖尿病患者,采用Zung氏抑郁自评量表(SDS)进行抑郁症情况调查,二元Logistic回归模型分析该地区2型糖尿病发生抑郁的影响因素。结果28.40%(96/338)的患者存在不同程度的抑郁症状,其中,男性55例,占57.29%,女性41例,占42.71%。抑郁患者与非抑郁患者婚姻状况、生活满意度、BMI、职业、病程、T2DM并发症情况比较,差异有统计学意义(P<0.05)。二元Logistic回归分析后结果显示:血糖控制、经济状况、婚姻状况、病程、BMI、T2DM并发症为2型糖尿病合并抑郁症的危险因素。结论大理地区白族人群2型糖尿病患者中抑郁症患病率较高,与多种因素相关,血糖控制、经济状况、婚姻状况、病程、BMI、T2DM并发症可能为该地区白族2型糖尿病患者抑郁症发病的危险因素,开展有针对性的心理健康教育、早筛查、专科会诊和干预有重要意义。
Objective To investigate the prevalence of type 2 diabetes complicated with depression in Bai people in Dali area,and analyze the related influencing factors,so as to provide opinions and basis for the prevention and intervention of type 2 diabetes with depression.Methods A cross-sectional survey was used to investigate 338 cases the depression status of Bai nationality type 2 diabetes patients who were hospitalized in the Department of Endocrinology,Dali People's Hospital from January 2017 to June 2019.Zung's Self-Rating Depression Scale(SDS)was used to investigate the depression status,and the binary Logistic regression model analysis of the influencing factors of depression in type 2 diabetes in this area.Results 28.40%(96/338)of patients had different degrees of depressive symptoms.Among them,55 were males,accounting for 57.29%,and 41 were females,accounting for 42.71%.There were statistically significant differences between depressed patients and non-depressed patients in marital status,life satisfaction,BMI,occupation,course of disease,and complications of T2DM(P<0.05).The results of binary logistic regression analysis showed that blood glucose control,economic status,marital status,course of disease,BMI,T2DM complications were risk factors for type 2 diabetes with depression.Conclusion The prevalence of depression in Bai people with type 2 diabetes in Dali is relatively high,which is related to many factors.Blood glucose control,economic status,marital status,course of disease,BMI,T2DM complications may be the cause of depression in Bai nationality with type 2 diabetes in this area It is of great significance to carry out targeted mental health education,early screening,specialist consultation and intervention for the risk factors of disease onset.
作者
李淳娥
任玉华
曹爱华
邵曰府
冯树义
黄竹君
LI Chun-e;REN Yu-hua;CAO Ai-hua;SHAO Yue-fu;FENG Shu-yi;HUANG Zhu-jun(Department of Endocrinology,People's Hospital of Dali Prefecture,Dali,Yunnan Province,671000 China;Department of Psychiatry,Mangshi Hukang Hospital,Mangshi,Yunnan Province,678411 China;Department of Health Management,Yunnan Meikang Health Management Company,Dali,Yunnan Province,671000 China)
出处
《糖尿病新世界》
2020年第17期36-38,41,共4页
Diabetes New World Magazine
基金
云南省大理州人民医院2017年医学科研基金项目(201700712KS)。
关键词
2型糖尿病
抑郁
患病率
影响因素
Type 2 diabetes
Depression
Prevalence
Influencing factors
