糖尿病患者抑郁焦虑现状调查与分析

Investigation and analysis of depression and anxiety in patients with diabetes mellitus

目的：调查某医院糖尿病患者抑郁焦虑现状,为进一步对糖尿病患者实施心理干预提供科学依据。方法采用一般资料调查问卷、患者健康问卷（ PHQ-9）和广泛性焦虑障碍量表（ GAD-7）对121例住院糖尿病患者进行问卷调查。结果51.3%的糖尿病患者存在不同程度的抑郁,56.2%的患者存在不同程度的焦虑。女性、小学及以下学历、有并发症、无可获得的社区卫生服务者,抑郁焦虑水平较高；31-45岁年龄组及有工作者的焦虑得分较高；患者抑郁焦虑水平随病程延长逐渐上升,病程〉5年者焦虑得分最高,〉10年者抑郁得分最高。结论糖尿病患者普遍存在抑郁焦虑情绪,应予以关注及早期筛查。

Objective To investigate the status of depression and anxiety in patients with diabetes, and to provide scientific basis for the further implementation of psychological intervention in patients with diabetes. Methods A questionnaire survey was conducted in 121 hospitalized patients with diabetes by general data questionnaire, patient health questionnaire （ PHQ-9 ） and generalized anxiety disorder scale （ GAD-7 ） . Results 51. 3% of diabetic patients had different degrees of depression, 56. 2% of the patients had different degrees of anxiety. Women, primary school and below, complications, no access to community health services had high level of depression and anxiety;people aged from 31 to 45 years and work people acquired high anxiety score. The level of depression and anxiety of the patients increased gradually with the course of disease. when the course lasted more than 5 years, people obtained the highest score of anxiety; when the course existed beyond 10 years, the score of depression was highest. Conclusions The prevalence of depression and anxiety in patients with diabetes should be paid attention to and early screening.