社区老年2型糖尿病患者的情绪和生存质量分析
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摘要
目的 :分析社区老年2型糖尿病患者情绪和生存质量。方法 :选取2017年入选"上海市公共卫生体系建设三年行动计划社区糖尿病慢性并发症筛查项目"的上海长桥社区2型糖尿病患者967例,男性410例(42.4%),女性557例(57.6%);年龄60～75周岁,平均年龄(67.97±5.52)岁。采用抑郁自评量表(SDS),焦虑自评量表(SAS),糖尿病特异性生存质量量表(A-DQOL)评价患者的情绪和生存质量。结果:轻度抑郁和焦虑的比例分别为11.0%(106/967)和31.2%(302/967);中度抑郁和焦虑的比例分别为5.8%(56/967)和12.0%(116/967);重度抑郁和焦虑的比例分别为2.6%(25/967)和5.7%(55/967)。不同年龄、文化程度、职业、婚姻状态、医疗付费、经济来源、糖尿病病程、治疗方案和体重指数间的SAS、SDS评分差异有统计学意义(P <0.05);职业、婚姻、病程、治疗状况、经济来源可影响A-DQOL的满意度评分;年龄、文化、职业、婚姻、病程、经济来源可影响A-DQOL的影响程度评分;病程、治疗状况、BMI、经济来源可影响A-DQOL的忧虑程度1评分;年龄、文化、职业影响A-DQOL的忧虑程度2评分;差异均有统计学意义(P <0.05)。结论 :不同的职业、文化程度、婚姻状态、医疗付费、经济来源、治疗方案、体重指数、糖尿病病程和年龄是老年T2DM的抑郁焦虑和生存质量的影响因素。
Objective: To analyze the emotion and quality of life in elderly patients with type 2 diabetes mellitus in a community. Methods: A total of 967 cases of type 2 diabetes mellitus who were in Shanghai Changqiao Community for the community diabetes chronic complications screening project of 2017 Shanghai public health system construction threeyear action plan were selected, including 410 males(42.4%) and 557 females(57.6%); the age was 60～75 years old, and the average age was(67.97±5.52) years old. Self-rating depression scale(SDS), self-rating anxiety scale(SAS) and adjusted diabetes quality-of-life measure(A-DQOL) were used to evaluate patients' mood and quality of life. Results: The proportion of mild depression and anxiety was 11.0%(106/967) and 31.2%(302/967), respectively; the proportion of moderate depression and anxiety was 5.8%(56/967) and 12.0%(116/967), respectively; the proportion of major depression and anxiety was 2.6%(25/967) and 5.7%(55/967), respectively. There were significant differences in SAS and SDS scores between different ages, education levels, occupations, marital status, medical payments, economic sources, duration of diabetes, treatment options, and body mass index(P<0.05). Career, marriage, duration of illness, treatment status, and economic source could affect A-DQOL's satisfaction score; age, culture, occupation, marriage, duration of illness, and economic source could affect the impact score of A-DQOL; the course of disease, treatment status, BMI, and economic source could affect the anxiety level 1 score of A-DQOL; age, culture, and occupation affected A-DQOL's anxiety level 2 score; the differences were statistically significant(P<0.05). Conclusion: Different occupations, educational levels, marital status, medical payment, sources of income, treatment options, body mass index, duration of diabetes, and age are factors influencing depression and anxiety and quality of life of the elderly people with type 2 diabetes.
Objective: To analyze the emotion and quality of life in elderly patients with type 2 diabetes mellitus in a community. Methods: A total of 967 cases of type 2 diabetes mellitus who were in Shanghai Changqiao Community for the community diabetes chronic complications screening project of 2017 Shanghai public health system construction threeyear action plan were selected, including 410 males(42.4%) and 557 females(57.6%); the age was 60～75 years old, and the average age was(67.97±5.52) years old. Self-rating depression scale(SDS), self-rating anxiety scale(SAS) and adjusted diabetes quality-of-life measure(A-DQOL) were used to evaluate patients' mood and quality of life. Results: The proportion of mild depression and anxiety was 11.0%(106/967) and 31.2%(302/967), respectively; the proportion of moderate depression and anxiety was 5.8%(56/967) and 12.0%(116/967), respectively; the proportion of major depression and anxiety was 2.6%(25/967) and 5.7%(55/967), respectively. There were significant differences in SAS and SDS scores between different ages, education levels, occupations, marital status, medical payments, economic sources, duration of diabetes, treatment options, and body mass index(P<0.05). Career, marriage, duration of illness, treatment status, and economic source could affect A-DQOL's satisfaction score; age, culture, occupation, marriage, duration of illness, and economic source could affect the impact score of A-DQOL; the course of disease, treatment status, BMI, and economic source could affect the anxiety level 1 score of A-DQOL; age, culture, and occupation affected A-DQOL's anxiety level 2 score; the differences were statistically significant(P<0.05). Conclusion: Different occupations, educational levels, marital status, medical payment, sources of income, treatment options, body mass index, duration of diabetes, and age are factors influencing depression and anxiety and quality of life of the elderly people with type 2 diabetes.
引文
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[6]丁元林,孔丹莉,倪宗瓒,等.糖尿病特异性生存质量量表的文化调适与修订[J].中国行为医学科学,2004,13(1):102-103.
[7]张荀芳,于恩彦,吴惠英,等.综合康复干预对老年2型糖尿病合并抑郁患者生活质量的影响[J].中国现代护理杂志,2014,20(13):1556-1559.
[8]高嘉良,魏军平.非药物干预在社区防治2型糖尿病的效果评述[J].世界中西医结合杂志,2015,10(8):1167-1173.
[9]廖萌芽,张先庚,张泽菊,等.2型糖尿病病人生存质量评估量表研究进展[J].护理研究,2015,29(1):139-140.
[2]杨丽萍,胡忠华.中文简版糖尿病问题量表在老年2型糖尿病病人中应用的信效度检验[J].全科护理杂志,2015,13(20):1909-1911.
[3]张娅妮,孙连庆.中老年2型糖尿病并发焦虑抑郁情况调查分析[J].陕西医学杂志,2013,42(11):1546-1547.
[4]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中国糖尿病杂志,2014,22(8):6.
[5]汪向东,王希林,马弘.心理卫生评定量表手册[M].增订版.北京:中国心理卫生杂志社,1999:235-238.
[6]丁元林,孔丹莉,倪宗瓒,等.糖尿病特异性生存质量量表的文化调适与修订[J].中国行为医学科学,2004,13(1):102-103.
[7]张荀芳,于恩彦,吴惠英,等.综合康复干预对老年2型糖尿病合并抑郁患者生活质量的影响[J].中国现代护理杂志,2014,20(13):1556-1559.
[8]高嘉良,魏军平.非药物干预在社区防治2型糖尿病的效果评述[J].世界中西医结合杂志,2015,10(8):1167-1173.
[9]廖萌芽,张先庚,张泽菊,等.2型糖尿病病人生存质量评估量表研究进展[J].护理研究,2015,29(1):139-140.
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