糖尿病前期人群身心健康情况及相关影响因素分析

Analysis of Physical and Mental Health Status and Influencing Factors in Pre-diabetes Population

目的了解糖尿病前期人群的身心健康和焦虑情况,探讨相关影响因素。方法将基于社区的糖尿病及前期人群健康干预项目中判定为糖尿病前期的575人作为调查对象,采用世界卫生组织五项身心健康指标(WHO-5中文版)和焦虑自评量表(self-rating anxiety scale,SAS)对其进行问卷调查,并测量其相关生化指标。结果调查发现,糖尿病前期人群的身心健康状况平均为(19.64±5.66)分,其中有12.7%的身心健康水平较差。SAS平均为(42.58±7.95)分,其中17.6%存在不同程度的焦虑。多因素logistic回归分析显示,年龄是影响糖尿病前期人群身心健康的影响因素(P<0.05);职业和婚姻状况是影响糖尿病前期人群焦虑的影响因素(P<0.05)。结论对糖尿病前期人群的心理状况应予以关注,并对其中的低龄、离婚/丧偶、事业单位工作者应尽早进行心理干预,减轻焦虑情绪、积极控制血糖,从而有效地阻止糖尿病前期人群发展为糖尿病患者。

Objective To understand the physical and mental health and anxiety of the pre-diabetes population and explore the relevant influencing factors.Methods A total of 575 people who were identified as pre-diabetes in the community based diabetes and pre-diabetes population health intervention project were investigated by using the five physical and mental health indicators of the World Health Organization(WHO-5 Chinese version)and Self-rating Anxiety Scale(SAS),and their related biochemical indicators were measured.Results The survey found that the average score of physical and mental health of pre-diabetes population was 19.64±5.66,of which 12.7%had poor physical and mental health.The average SAS score was(42.58±7.95),and 17.6%of them had different degrees of anxiety.Multivariate logistic regression analysis showed that age was the influencing factor of physical and mental health of pre-diabetes population(P<0.05);occupational and marital status were the influencing factors of anxiety in pre diabetes population(P<0.05).Conclusion Attention should be paid to the psychological status of pre-diabetes population,and psychological intervention should be carried out as early as possible for young people,divorced/widowed,and public institution workers,so as to reduce anxiety and actively control blood sugar,thus effectively preventing pre-diabetes population from developing into diabetic patients.