2型糖尿病患者抑郁情绪的表现及其影响因素分析

Analysis of the manifestations of depression in patients with type 2 diabetes and its influencing factors

目的分析2型糖尿病患者抑郁情绪的表现及其影响因素。方法选取2015年8月至2017年8月本院收治的确诊为2型糖尿病患者360例作为研究对象,根据入院PHQ-9评分,≥9分作为抑郁情绪组(n=57),<9分作为非抑郁情绪组(n=303)。比较两组临床资料及抑郁情绪表现,并分析2型糖尿病患者抑郁情绪的影响因素。结果抑郁情绪组的女性占比、糖化血红蛋白(HbA1c)水平及WLQ评分均高于非抑郁情绪组,糖尿病病程长于非抑郁情绪组,差异均有统计学意义(P<0.05);女性、糖尿病病程是抑郁情绪患者出现工作效率低下的独立危险因素(P<0.05)。结论在临床工作中,糖尿病患者,尤其是病程较长的女性患者,必要时需评估抑郁情绪,如合并抑郁情绪,需进行必要的心理疏导,避免影响工作、生活和经济状况。

Objective Analyze the manifestations and influencing factors of depression in patients with type 2 diabetes.Methods 360 patients diagnosed with type 2 diabetes who were admitted to our hospital from August 2015 to August 2017 were selected as the research subjects.According to the admission PHQ-9 score,≥9 scores were regarded as the depressive group(n=57),and<9 scores were regarded as the non-depressive group(n=303).Compare the clinical data and performance of depression between the two groups,and analyze the influencing factors of depression in patients with type 2 diabetes.Results The proportion of women in the depression group,the level of glycosylated hemoglobin(HbA1 c)and the WLQ score were higher than those in the non-depressive group,and the duration of diabetes was longer than that in the non-depressive group,the difference was statistically significant(P<0.05);women and the duration of diabetes were independent risk factors for low work efficiency in patients with depression(P<0.05).Conclusion In clinical work,diabetic patients,especially female patients with long course of disease,need to evaluate depression when necessary.If depression is combined,necessary psychological counseling is required to avoid affecting work,life and economic status.