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目的:探讨糖尿病患者抑郁症的发生情况,分析与抑郁相关的危险因素。方法:使用Beck抑郁量表(BDI)评定江苏省泰州市海陵区1～3级医院中161例糖尿病患者抑郁症的发生状况,同时记录相关的危险因素进行统计分析。结果:(1)所调查的糖尿病患者中,46.6%存在不同程度的抑郁症。(2)抑郁症发生的相关危险因素有糖尿病并发症、使用胰岛素治疗及体重指数。结论:(1)糖尿病抑郁症的发病率高,临床实践应注重对抑郁症的筛查。(2)糖尿病抑郁症的发生与病情严重程度及患者对胰岛素治疗方案存在心理抵抗有关,应同时注重对糖尿病患者的心理疏导治疗,从而减少抑郁症的发生。
Objective: To investigate the incidence of depression in diabetic patients and to analyze the risk factors associated with depression. Methods: The Beck Depression Scale (BDI) was used to assess the prevalence of depression in 161 patients with diabetes mellitus in Hailing 1 ~ 3 Hospital of Taizhou, Jiangsu Province. At the same time, the related risk factors were recorded for statistical analysis. Results: (1) 46.6% of the diabetic patients surveyed had different degrees of depression. (2) Depression related risk factors include diabetic complications, insulin therapy and body mass index. Conclusion: (1) The incidence of diabetes mellitus is high, and clinical practice should focus on the screening of depression. (2) The occurrence of diabetes mellitus is related to the severity of the illness and psychological resistance of the patients to the insulin treatment plan. At the same time, psychological counseling should be given to the patients with diabetes so as to reduce the occurrence of depression.