糖尿病患者焦虑抑郁情绪与生活质量相关性研究

A correlation study on anxiety-depression emotion and quality of life for diabetics

目的 探讨糖尿病患者的焦虑抑郁情绪与生活质量的相关性，为临床有效干预提供依据。方法对58名糖尿病患者采用汉密顿焦虑量表及汉密顿抑郁量表评定焦虑抑郁状况，采用糖尿病病人特异性生活质量量表评定生活质量，对测评结果进行相关分析。结果糖尿病患者焦虑障碍发生率为32．76％，无焦虑情绪者为27．59％；抑郁障碍发生率为22．41％，无抑郁情绪者为24．14％。伴有焦虑抑郁障碍患者糖尿病病人特异性生活质量量表总分及生理纬度、心理纬度、社会关系纬度、治疗纬度因子分均显著高于无焦虑抑郁情绪患者（P〈0．05或0．01）；糖尿病病程≥1a的患者糖尿病病人特异性生活质量量表总分均显著高于〈1a者（Pa〈0．05）。结论焦虑、抑郁情绪是影响糖尿病患者生活质量的危险因素，焦虑、抑郁情绪越严重，生活质量越差；病程越长，患者的生活质量越差。在治疗糖尿病的同时应对患者的心理问题进行干预和治疗，以提高患者的生活质量。

Objective To explore the correlation between the anxiety-depression emotion and quality of life for diabetics in order to provide basis for clinically effective intervention. Methods Anxiety depression status was assessed with the Hamilton Anxiety Scale （HAMA） and the Hamilton Depression Scale （HAMD） and quality of life with the Diabetes Specific of Quality of Life Scale（DSQL） in 58 diabetics, results were correlatively analyzed. Results The incidence of anxiety disorders was 32.76% in diabetics, ones without anxiety emotions were 27.59 %; the incidence of depressive disorder was 22.41%, ones without depression emotion were 24.14%. Such factors＇ scores of the DSQL as physiology, psychology, social relation and treatment were all significantly higher in diabetics with anxiety-depression emotion than in ones without（P〈0.05 or 0.01）; total scores of the DSQL were significantly higher in diabetics whose course ≥ 1 year than in ones 〈1 year （all P〈0.05）. Conclusion Anxiety-depression emotions are risk factors influencing quality of life of diabetics, the more serious the anxiety-depression emotions , the worse the quality of lif ; the longer the course , the worse the quality of lif of patients. At the same time of treating diabetes, psychoproblems of the patients should be intervened and treated to improve patients quality of life.