社区老年2型糖尿病患者的情绪和生存质量分析  

Analysis of emotion and quality of life in elderly patients with type 2 diabetes in a community

作　　者：唐兢[1] 杨祺[1] 李潇 吴雯雯 钮登 丁朋礼 刘志文[3] 徐文蓉[1] 徐柳慧 TANG Jing;YANG Qi;LI Xiao;WU Wenwen;NIU Deng;DING Pengli;LIU Zhiwen;XU Wenrong;XU Liuhui(General Practice Department of Changqiao Community Health Service Center of Xuhui District,Shanghai 200231,China;Preventive and Health Care Department of Changqiao Community Health Service Center of Xuhui District,Shanghai 200231,China;Endocrinology Department of Central Hospital of Xuhui District,Shanghai 200231,China)

机构地区：[1]上海市徐汇区长桥街道社区卫生服务中心全科,上海200231 [2]上海市徐汇区长桥街道社区卫生服务中心防保科,上海200231 [3]上海市徐汇区中心医院内分泌科,上海200031

出　　处：《上海医药》2019年第2期40-44,共5页Shanghai Medical & Pharmaceutical Journal

基　　金：2016年徐汇区医学科研项目(SHXH201629)

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.

关 键 词：2型糖尿病 老年 情绪 生存质量 

分 类 号：R587.1[医药卫生—内分泌]