武汉市某医院糖尿病足患者的焦虑、抑郁、自尊感及其相关性

Anxiety,Depression and Self-Esteem of Patients with Diabetic Foot in a Hospital of Wuhan City and Their Correlation

目的:探讨糖尿病足患者的焦虑、抑郁、自尊感及其相关性。方法:选取2016年10月-2017年10月于武汉市某医院就诊的DF患者62例作为研究对象,对其焦虑自评量表、抑郁自评量表和Rosenberg自尊量表评分进行分析。结果:与国内常模比较,DF患者的平均SAS得分及平均SDS得分均明显升高,平均RSES得分明显降低。年龄<60岁、DM病程5年以上、足溃疡等级越高和户籍地为农村的DF患者的平均SAS和SDS得分越高,焦虑、抑郁程度越重(P<0.05)。女性、年龄≥60岁、有其他并发症、职业为知识分子的DF患者平均RSES得分越低,自尊感越低(P<0.05)。Pearson相关分析显示,SAS得分、SDS得分与RSES得分之间均呈负相关(r=-0.828,r=-0.817,P<0.05)。结论:DF患者呈中度焦虑、中度抑郁,自尊感较低。DF患者的焦虑、抑郁状况和自尊感均呈现显著的负相关。

Objective： To investigate the anxiety, depression, and self-esteem and their correlation in patients with diabetic foot （DF）. Methods： We collected 62 patients with DF in a hospital in Wuhan City from October 2016 to October 2017 as research suh jects, and general data of DF patients, self-rating anxiety scale （SAS）, and depression self-rating scale （self） The scores were -ruting depression scale （SDS） and Rosenberg self-esteem scale （RSES）. Results：Compared with the domestic norm, the average SAS score and the average SDS score of DF pa- tients were significantly higher, and the average RSES score was signilicantly lower. The higher the mean SAS and SDS scores of DF patients aged 〈60 years, DM course more than 5 years, the higher the loot ulcer level and the rural residents＇ place of residence, the heavier the degree of anxiety and depression （P〈0.05）. The lower the average RSES score lot women, older than 60 years of age, other compllcations, and intellectuals, the lower the self-esteem （P〈0.05）. Pearson correlation analysis showed that there was a negative correlation between SAS score, SDS score and RSES score （r=-0.828, r=-0.817, P〈0.05）. Conclusion： Patients with DF had moderate anxiety, moderate depression and low self-esteem. There was a signilicant negative correlation between anxiety, depression and self-esteem in DF patients.