社区2型糖尿病患者抑郁症状与生存质量、家庭支持的关系  

Relation of depression to quality of life and family support in patients with type 2 diabetes in community

作　　者：王冯彬 高敏 陈雪莹 沈莹 孙信 王陶陶 赵立华 甘静雯 岳荣芳 孙昕霙[1] WANG Fengbin;GAO Min;CHEN Xueying;SHEN Ying;SUN Xin;WANG Taotao;ZHAO Lihua;GAN Jingwen;YUE Rongfang;SUN Xinying(School of Pblic Health,Peking University Health Center,Beijing 100191,China;Urban Community Health Service Center,Shunyi District,Beijing 101300,China;Liyuan Community Health Service Center,Tongzhou District,Beijing 101101,China)

机构地区：[1]北京大学医学部公共卫生学院,北京100191 [2]北京市顺义区城区社区卫生服务中心,北京101300 [3]北京市通州区梨园社区卫生服务中心,北京101101

出　　处：《中国心理卫生杂志》2020年第7期589-593,共5页Chinese Mental Health Journal

基　　金：国家自然科学基金面上项目(71673009)

摘　　要：目的:探讨2型糖尿病患者的抑郁症状与生存质量及家庭支持之间的关系。方法:对北京市4个社区卫生服务中心的775例2型糖尿病患者,采用病人健康问卷抑郁量表(PHQ-8)、糖尿病特异性生存质量量表(DSQL)、自编糖尿病患者家庭支持量表及糖尿病患者自我效能量表进行调查,用二元logistic回归模型分析患者抑郁症状与生存质量及家庭支持关系。结果:抑郁症状筛查阳性率16.8%(130/775)。logistic回归模型显示,女性(OR=1.85)、年龄50岁以下(OR=2.57)、病程5年内(OR=2.97)的社区2型糖尿病患者较易出现抑郁症状。生存质量较好(DSQL评分,OR=0.10)及家庭批评支持供需匹配度较佳者(OR=0.62)不易出现抑郁症状。结论:女性、年纪较轻、病程较短、生存质量较差、家庭批评支持供需匹配度较差可能是社区2型糖尿病患者出现抑郁症状的危险因素。Objective:To explore the relation of depression to quality of life and family support in patients with type 2 diabetes.Metliods:Totally 775 patients with type 2 diabetes mellitus from 4 community health cae cen­ters of Beijing were collected.They were assessed with the eight-item Patient Health Questionnaire depression scale(PHQ-8),Diabetes Specific Quality of Life Scale(DSQL),self-compiled Diabetes Family Support Questionnaire and self-compiled Diabetes Self-Efficacy Questionnaire.A binary logistic regression model was used to analyze the related factors of depression in patients with type 2 diabetes.Results:The positive rate of depression symptom screening was 16.8%(130/775).In the binary logistic regression model,females(Ofl=1.85),patients under 50 years old(Ofl=2.57)and with a disease course within 5 years(Ofl=2.97)were more likely to have depression symptoms.Patients with better quality of life(DSQLscore,Ofl=0.10)and family criticism support better supply-demand matching(Ofl=0.62)were less likely to have depression symptoms.Conclusion:Female,younger age,shorter disease course,poorer quality of life and family criticism support with poorer supply-demand matching may be risk factors of depression symptoms in patients with type 2 diabetes in community.

关 键 词：糖尿病 抑郁 生存质量 家庭支持 

分 类 号：R749.42[医药卫生—神经病学与精神病学] R587.1[医药卫生—临床医学]