社区老年2型糖尿病患者共病抑郁的现况调查及相关危险因素分析

Prevalence and risk factors of comorbid depression in community elderly patients with type 2 diabetes mellitus

目的 了解社区老年2型糖尿病人群伴发抑郁的现状及相关危险因素.方法 选取2015年1月~2016年12月在上海市梅陇社区卫生服务中心就诊的550例老年2型糖尿病（T2DM）患者进行病人健康问卷抑郁量表（PHQ-9）评定及相关问卷调查,根据PHQ-9评分情况将患者分为共病抑郁组和非抑郁组,对两组患者人口学资料进行比较,采用多因素Logistic回归分析探讨糖尿病共病抑郁的相关危险因素.结果 所调查老年2型糖尿病人群抑郁的发生率为45.27%;糖尿病病程、合并躯体疾病数、空腹血糖、HbA1C为社区老年T2DM患者共病抑郁的独立危险因素（P〈0.05）.结论 老年T2DM患者中抑郁的发病率高,在对社区老年T2DM患者进行指导、治疗时,除了需要积极控制血糖、HbA1C外,还需要积极关注其可能存在的抑郁症状,做到前期预防、早期发现并及时治疗.

Objective To investigate the prevalence and risk factors of depression in elderly pa-tients with type 2 diabetes mellitus（T2DM） .Methods Totals of 550 elderly T2DM patients in Meilong Com-munity Health Service Center of Shanghai City Hospital from January 2015 to December 2016 were investigated by Patient Health Questionnaire（PHQ-9）. According to PHQ-9 scores, patients were divided into comorbid depression group and non-depression group. Demographic data were compared between two groups. Multivariate Logistic re-gression analysis was used to explore the risk factors of diabetes combined with depression.Results The incidence of depression in elderly patients with T2DM was 45.27%. The duration of diabetes mellitus, number of somatic diseases, fasting blood glucose and HbA1C were independent risk factors of comorbid depression in community elderly patients with T2DM（P〈0.05）.Conclusions The incidence of depression is high in elderly diabetes patients. In addition to the positive control of blood glucose and HbA1C, possible symptoms of depression should be actively concerned in the guidance and treatment of community elderly diabetes mellitus patients in order to early pre-vention, early detection and timely treatment.