中老年糖尿病患者抑郁症状的高危识别

High-risk identification of depressive symptoms in middle-elderly patients with diabetes

目的分析中老年糖尿病患者抑郁症状的检出情况,为识别合并抑郁症状的高危群体提供依据。方法选取2018年中国健康与养老追踪调查数据中符合糖尿病诊断,以及正在使用某种方法进行治疗的45岁及以上的中老年糖尿病患者。采用流调中心抑郁水平评定10条目量表(CESD-10)问卷,≥10分为抑郁症状。采用单因素和多因素Logistic回归分析,对不同特征的糖尿病患者抑郁症状的检出情况进行比较。结果共纳入糖尿病患者1815例,其中790例(43.5%)存在抑郁症状。Logistic回归分析显示,合并肺部疾病、脑卒中、肾脏疾病、记忆相关疾病、关节炎慢性病,学历为初中及以下、女性、居住地为农村是检出糖尿病患者抑郁症状的危险因素。结论中国中老年糖尿病患者抑郁症状的检出情况处于较高水平,特别是女性、居住地在农村、低学历、合并肺部疾病、脑卒中、肾脏疾病、记忆相关疾病及关节炎的患者更应得到关注。

Objective To detect the depressive symptoms in middle-elderly patients with diabetic,and to provide evidence for identifying high-risk groups of pooled diabetic and depression.Methods According to the 2018 China Health and Retirement Longitudinal Study(CHARLS)data,a total of 1815 eligible middle-elderly diabetic patients aged 45 years and over were recruited,including these patients who was being treated with a certain method.Depression score was adopted by the 10-item Center for Epidemiological Studies Depression Scale(CESD-10)questionnaire,and the presence of depressive symptoms was defined as≥10 points.Univariate and multivariate Logistic regression analysis were performed to analyze the detection of depressive symptoms in middle-elderly patients with diabetic.Results There were 790(43.5%)patients pooled diabetic and depressive symptoms among 1815 patients.In the results of Logistic regression analysis,pulmonary disease,stroke,kidney disease,memory-related disease,arthritis chronic disease,education level of junior high school and below,female,and rural residence were the risk factors for depressive symptoms in middle-elderly patients with diabetic.Conclusion The detection rate of depressive symptoms in middle-elderly diabetic patients is at a high level in China,especially women,living in rural areas,low educational background,patients with lung disease,stroke,kidney disease.The memory related diseases,arthritis and chronic diseases should be paid more attention.