糖尿病痛性周围神经病变患者情绪调查分析

Investigation and Analysis of Mood in Patients with Diabetic Peripheral Neuropathy

目的评估糖尿病痛性周围神经病变患者情绪状态并进行调查分析,为临床更好的改善患者心理健康状态。方法选取2010年6月~2017年11月于我院就诊住院的2型糖尿病痛性周围神经病变患者158例,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活质量评价表(SF-36)对患者进行情绪调查。结果糖尿病痛性周围神经病变患者SDS评分为(53.55±7.31)分,SAS评分为(58.47±10.52)分,SF-36评分为(77.94±10.32)分。高年龄组SAS、SDS、SF-36评分明显低于年龄≤40岁组,男性组的SAS、SDS、SF-36评分要显著低于女性组的评分,差异均有统计学意义(P<0.05)。低学历者的SAS、SDS评分较本科及以上学历的评分更高,低学历者的SF-36评分更低,差异均有统计学意义(P<0.05)。干部的SAS和SDS评分较其他行业从业者更低,但是SF-36P评分更高,差异均有统计学意义(P<0.05)。糖尿病病程≤5年组SAS、SDS、SF-36评分相对5~15年和≥15年组更高,差异均有统计学意义(P<0.05)。已婚组SAS和SDS评分显著低于其它婚姻状况组的评分,已婚组SF-36高于未婚组、离异组、丧偶组的评分,差异均有统计学意义(P<0.05)。相对农医保组,城市医保组的SAS和SDS评分显著下降,差异均有统计学意义(P<0.05),而SF-36高于农医保组。合并多种慢性并发症组的SAS、SDS评分显著高于单纯合并糖尿病痛性周围神经病变组的评分,SF-36明显低于单纯合并糖尿病痛性周围神经病变组的评分,差异均有统计学意义(P<0.05)。结论糖尿病痛性周围神经病变患者在女性、低学历、工作收入低、病程时间长、婚姻不满意、医保报销比例低、合并多种慢性并发症的人群中,有更明显的心理障碍,存在焦虑、抑郁情绪及生活质量下降。

Objective To evaluate the emotional status of diabetic patients with painful peripheral neuropathy and to improve their mental health status.Methods From June 2010 to November 2017,158 patients with painful peripheral neuropathy of type 2 diabetes mellitus were investigated with self rating anxiety scale(SAS),self rating depression scale(SDS)and quality of Life evaluation form(SF-36).Results The SDS score of diabetic patients with painful peripheral neuropathy was(53.55依7.31)and the score of SAS was(58.47依10.52),the score of SF-36 was(77.94依10.32).The score of SAS,SD,SF-36 in the older group was significantly lower than that in the age臆40 years group,and that in the male group was significantly lower than that in the female group,the difference was statistically significant(<0.05).The scores of SAS and SDS in the low degree students were higher than those in the undergraduate degree and above,and the SF-36 scores of the low degree students were lower,the difference was statistically significant(<0.05).The SAS and SDS scores of the cadres were lower than those of the other professions,but the SF-36P scores were higher,the difference was statistically significant(<0.05),and the score of SAS,SDS,SDSF-36 was higher in the group of diabetes duration臆5 years than that in the group of 5~15 years and逸15 years,and the difference was statistically significant(<0.05).The scores of SAS and SDS in married group were significantly lower than those in other marital status groups.The scores of SF-36 in married group were significantly higher than those in unmarried group,divorced group and widowed group,the difference was statistically significant(<0.05).Compared with the rural health insurance group,the SAS and SDS scores in urban health insurance group decreased significantly,the difference was statistically significant(<0.05),and the SF-36 was higher than that in the rural health insurance group.The scores of SAS,SDS in the group with multiple chronic complications were significantly higher than those in the group with simple diabetic pain peripheral neuropathy and the score of SF-36 was significantly lower than that in the group of simple diabetic peripheral neuropathy,the difference was statistically significant(<0.05).Conclusion Diabetic patients with painful peripheral neuropathy have more obvious psychological disorders in women with low educational background,low working income,long course of disease,unsatisfactory marriage,low reimbursement rate of medical insurance,and many kinds of chronic complications,anxiety,depression and quality of life declined.