伴有抑郁的2型糖尿病患者生活质量及家庭功能

Investigation on quality of life and family functioning in type 2 diabetic patients with depression

目的:探讨伴有抑郁的2型糖尿病患者生活质量及家庭功能特征。方法:采用生活质量量表(QLESQ)、家庭功能量表(FAD)以及贝克抑郁量表(BDI)对50例2型糖尿病患者(糖尿病组)及50名正常人(正常对照组)进行调查。结果:38%(19/50例)的2型糖尿病患者伴有抑郁。糖尿病组FAD评分中情感卷入及行为控制维度在不健康家庭功能范围内;QLESQ总分(32.49±5.86)分明显低于正常对照组(37.76±5.38)分(P<0.01)。糖尿病组FAD的问题解决、角色和情感卷入维度与抑郁症状呈正相关(r分别=0.426、0.339、0.454,P<0.05或P<0.01);QLESQ总分与家庭功能的角色和行为控制维度呈负相关(r分别=-0.292、-0.344,P<0.01)。结论:伴发抑郁的2型糖尿病患者生活质量差且家庭功能有缺陷。

Objective： To study the characteristics of quality of life and family function in type 2 diabetic patients with depression. Method：Fifty patients with type 2 diabetes mellitus and fifty healthy normal con- trois were assessed with quality of life enjoyment and satisfaction questionnaire （ QLESQ ）, family assessment de- vice（FAD） and Beck depression inventory （BDI）. Results：Thirty-eight percent patients （19/50 cases）with type 2 diabetes mellitus suffered from depression. Affective involvement and behavioral control of FAD among type 2 diabetic patients were on the unhealthy area;the QLESQ scores （32.49 ± 5.86 ） score in patients group with type 2 diabetes mellitus were markedly lower than the normal group （ 37.76± 5.38 ） score, and there wassignificant difference between two groups（ P 〈 0.01 ） . The depression for patients with type 2 diabetes mellitus was positively correlated with the three dimensions including problem solving, roles and affective involvement （r = 0. 426,0. 339,0. 454;P 〈0.05 or P 〈 0.01 ）;the QLESQ scores among patients with type 2 diabetes mellitus was negatively correlated with the two dimensions including roles and behavioral control（ r = - 0. 292, - 0. 344 ; P 〈 0.01 ）. Conclusion： The diabetic patients with depression have perceived poor quality of life and impair- ment of family functioning.