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目的了解本社区2型糖尿病患者抑郁、焦虑情绪的患病情况及其危险因素。方法调查社区2型糖尿病患者110例,应用一般情况调查表和汉密顿抑郁量表评价受试者的抑郁、焦虑情绪状态和影响因素。结果本组110例2型糖尿病患者中抑郁、焦虑情绪障碍患病率为31.82%。2型糖尿病患者中非抑郁、焦虑组与抑郁组的年龄、性别、病程、并发症、血糖控制情况、受教育程度、经常接受健康教育、积极参加社区活动、经常接受家人各种精神和物质帮助的人数在统计学上差异均有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,性别、病程、是否积极参加社区活动、是否经常接受家人各种精神和物质帮助与抑郁、焦虑情绪正相关;并发症和受教育程度与抑郁、焦虑情绪负相关。结论 2型糖尿病患者中抑郁、焦虑患病率较高,应将心理治疗视为糖尿病治疗的一部分;性别为女、病程长、不积极参加社区活动、不经常接受家人各种精神和物质帮助为抑郁、焦虑情绪的危险因素,无并发症、受教育程度高是抑郁、焦虑情绪的保护因素。
Objective To understand the prevalence and risk factors of depression and anxiety in type 2 diabetic patients in this community. Methods A total of 110 patients with type 2 diabetes in the community were surveyed. The depression and anxiety state and the influencing factors of the subjects were evaluated using the General Survey and the Hamilton Depression Scale. Results The prevalence of depression and anxiety disorders in 110 patients with type 2 diabetes mellitus was 31.82%. Type 2 diabetes patients with non-depression, anxiety and depression group age, gender, duration, complications, glycemic control, education, regular health education, and actively participate in community activities, often accept the family a variety of mental and material help The number of statistically significant differences were statistically significant (P <0.05). Multivariate logistic regression analysis showed that sex, duration of illness, whether to actively participate in community activities, whether or not they often receive all kinds of family members’ mental and physical help are positively correlated with depression and anxiety. Complication and education levels are negatively correlated with depression and anxiety. Conclusions The prevalence of depression and anxiety in patients with type 2 diabetes is high. Psychotherapy should be regarded as part of the treatment of diabetes. The gender is female and has a long course of illness. They are not actively involved in community activities and often receive various family members’ spiritual and material support Depression, anxiety and risk factors, no complications, high level of education is a protective factor of depression and anxiety.