多级别医院糖尿病患者抑郁状况的调查及相关性研究

Survey of depressive status and correlative analysis of the patients with diabetes in multi-level hospitals

目的:探讨糖尿病患者抑郁症的发生情况,分析与抑郁相关的危险因素。方法:使用Beck抑郁量表(BDI)评定江苏省泰州市海陵区1～3级医院中161例糖尿病患者抑郁症的发生状况,同时记录相关的危险因素进行统计分析。结果:(1)所调查的糖尿病患者中,46.6%存在不同程度的抑郁症。(2)抑郁症发生的相关危险因素有糖尿病并发症、使用胰岛素治疗及体重指数。结论:(1)糖尿病抑郁症的发病率高,临床实践应注重对抑郁症的筛查。(2)糖尿病抑郁症的发生与病情严重程度及患者对胰岛素治疗方案存在心理抵抗有关,应同时注重对糖尿病患者的心理疏导治疗,从而减少抑郁症的发生。

Objective： To explore the prevalence of depression and its risk factors in diabetes mellitus in 1-3 level hospitals in Hailing District,Taizhou city,Jiangsu province.Methods： Beck depression inventory was used to evaluate depression in 161 diabetes mellitus patients.Meanwhile,correlative risk factors were recorded and analyzed.Results：（1） The prevalence rate of depression among all the diabetes was 46.6%.（2） The factors associated with depression disorder were：diabetic complication,use of insulin and body mass index.Conclusion：（1） The prevalence of depression among diabetes is high.More attention should be paid to screening depression in clinical practice.（2） Depression is correlated with severity of diabetes and psychological resistant because of the use of insulin.In order to reduse the prevalence of depression,we should give diabetes patients psychotherapy.