城乡结合部老年2型糖尿病患者抑郁症状及其影响因素的调查

Investigation of depression disorders and its influencing factors among senile patients with type 2 diabetes mellitus in rural-urban fringe

目的了解城乡结合部老年2型糖尿病患者抑郁症状的发生情况及其相关因素，为城乡结合部社区护理干预提供依据。方法采用抑郁自评量表（CES—D）、生活自理能力量表（ADL）对福州市鼓山镇323例60岁以上的2型糖尿病患者进行问卷调查，了解调查对象抑郁症状的发生情况及相关因素，并对结果进行分析。结果25．7％的老年2型糖尿病患者存在不同程度的抑郁症状，其中可能抑郁者占13．3％，肯定抑郁者占12．4％。丧偶、独居、生活自理功能下降和低体重指数的调查对象抑郁症状发生率较高，差异显著；多因素非条件Logistic回归分析显示，婚姻状况和体重指数是老年2型糖尿病患者抑郁症状发生的独立影响因素。结论丧偶、独居、生活自理能力下降和低体重指数人群是发生老年2型糖尿病患者抑郁症状的高危人群，心理护理应成为社区护理的重要内容。

Objective To investigate depression disorders and its influencing factors among senile patients with type 2 diabetes mellitus（T2DM） in rural-urban fringe in order to supply reference for community nursing intervention for it. Methods This study was conducted among 323 residents above 60 years old in Gushan town,Fuzhou City. CES- D （center for epidemiology survey-depression scale） and ADL （activities of daily living scale） were used to evaluate the depression condition and related factors in these patients and the results underwent analysis. Results 25.7% of people with diabetes had various degree of depression, among which 13.3% might had depression and 12.4% had depression definitely. Patients with loss of spouse, living along,reduction of self- care ability and low BMI showed higher incidence of depres - sion. Variables went into the unconditional multivariate logistic regression equation included marriage status and BMI. Conclusions T2DM patients with loss of spouse, living alone,reduction in self-care ability of daily living and low BMI are high risk population of depression. It was proposed that psychological nursing for the aged should be the important content of community nursing.