社区老年女性2型糖尿病患者握力、家庭月收入水平与抑郁的关系

Relationships between grip strength, monthly household income level, and depression in community-dwelling elderly female patients with type 2 diabetes

目的探索社区2型糖尿病女性患者握力与抑郁的关系及家庭月收入水平在握力与抑郁之间的调节作用。方法2021年3月—6月,采用方便抽样选取成都市3个社区卫生服务中心,使用自制人口学及疾病相关资料调查表、简版老年抑郁量表对社区中随机选取的老年女性2型糖尿病患者进行调查,并采用握力计测量握力。应用SPSS 25.0软件中的Process V3.3插件进行调节效应检验。结果最终纳入389例老年女性2型糖尿病患者。Spearman相关分析表示,握力与抑郁评分呈负相关(r_(s)=-0.125,P=0.014),与家庭月收入水平呈正相关(r_(s)=0.157,P=0.002);抑郁评分与家庭月收入水平呈负相关(r_(s)=-0.147,P=0.004)。调节效应结果显示,握力[非标准化偏回归系数(b)=-0.254,P=0.002]和家庭月收入水平(b=-1.552,P=0.009)均可单独影响患者抑郁评分,同时握力×家庭月收入水平交互项对抑郁评分的影响有统计学意义(b=0.065,P=0.031)。结论社区老年女性2型糖尿病患者握力能负向预测抑郁水平,家庭月收入水平在握力与抑郁水平间具有调节作用。

Objective To explore the relationship between hand grip strength and depression and the moderating role of monthly household income level between grip strength and depression of community-dwelling female patients with type 2 diabetes.Methods From March to June 2021,3 communities in Chengdu were selected by convenience sampling method,and elderly female patients with type 2 diabetes were randomly selected from these communities.The patients were investigated through a self-made demographic and disease-related questionnaire and the Geriatric Depression Scale-15,and their grip strength was measured by a grip meter.The Process V3.3 plugin in SPSS 25.0 software was used to test the moderation effect.Results A total of 389 elderly female patients with type 2 diabetes were enrolled in this study.Spearman correlation analyses indicated that the grip strength was negatively correlated with the depression score(r_(s)=-0.125,P=0.014),and positively correlated with the monthly household income level(r_(s)=0.157,P=0.002);the depression score was negatively correlated with the monthly household income level(r_(s)=-0.147,P=0.004).The results of the moderating effect showed that grip strength and monthly household income level could independently affect the patients’depression scores[unstandardized partial regression coefficient(b)=-0.254,P=0.002;b=-1.552,P=0.009],and the interaction item of grip strength and monthly household income level was statistically significant for depression scores(b=0.065,P=0.031).Conclusion The hand grip strength of community-dwelling elderly female patients with type 2 diabetes can negatively predict the level of depression,and the monthly household income level has a moderating effect between grip strength and depression.