中国2型糖尿病患者心理痛苦横断面研究的meta分析

A meta-analysis of cross-sectional studies of psychological distress with Type 2 diabetes patients in China

目的:了解中国2型糖尿病(T2DM)患者心理痛苦现状。方法:检索CNKI、CBM、Wan-fang、VIP、PubMed、EMbase、the Cochrane Library、Web of Science数据库,纳入使用糖尿病患者痛苦量表(DDS)评估T2DM患者心理痛苦的横断面研究,提取心理痛苦检出率、DDS各维度得分后进行meta分析。结果:共纳入34篇文献,累计8789人,发生心理痛苦的T2DM患者有4368例,检出率为50%[95%CI:39.0%~60.0%],其中生活规律相关痛苦得分最高为2.40[95%CI:2.26~2.53]。亚组分析显示,年龄<45岁、初中及以下、住院、三线城市的患者DDS得分更高,分别为2.21[95%CI:1.88~2.54]、2.15[95%CI:2.04~2.27]、2.11[95%CI:1.97~2.25]、2.20[95%CI:2.09~2.36]。结论:中国2型糖尿病患者发生心理痛苦的风险高,应尽早识别高危人群开展针对性护理措施。

Objective:To understand the state of psychological distress with type 2 diabetes patients in China.Methods:The cross-ectional studies on psychological distress with type 2 diabetes patients using the Diabetes Distress Scale(DDS)were searched in CNKI,CBM,Wanfang,VIP,PubMed,Embase,the Cochrane Library and Web of Science.Meta-analysis was conducted after extracting the psychological distress detection rate and scores of each dimension of DDS.Results:Totally 34 articles were included with a total of 8789 participants.Among which 4368 TDM patients with psychological distress were detected,with a detection rate of 50%(95%CI:39.0%-60.0%).The highest score was 2.40(95%CI:2.26-2.53)for routine-related pain.Subgroup analysis showed that patients aged<45 yeas old,with junior high school education and below,in hospital,and in third-tier cities had higher DDS scores of 2.21(95%CI:1.88-2.54),2.15(95%CI:2.04-2.27),2.11(95% CI:1.97-2.25),and 2.20(95%CI:2.09-2.36),respectively.Conclusion:The detection rate of psychological distress with type 2 diabetes patients in China is high,so the high-risk population should be identified as soon as possible to carry out targeted nursing measures.