2型糖尿病患者新型冠状病毒肺炎流行期间心理状态及行为调查  

A questionnaire survey on the mentality and behavior of patients with type 2 diabetes during COVID-19 pandemic period

作　　者：尹星琪 于彩果[1] 柯静 赵冬[1] 于可[1] Yin Xingqi;Yu Caiguo;Ke Jing;Zhao Dong;Yu Ke(Center for Endocrine Metabolism and Immune Diseases,Beijing Luhe Hospital,Capital Medical University,Beijing 101149,China)

机构地区：[1]首都医科大学附属北京潞河医院内分泌代谢与免疫性疾病中心,北京101149

出　　处：《首都医科大学学报》2020年第6期970-977,共8页Journal of Capital Medical University

基　　金：首都医科大学本科生科研创新项目(XSKY2020185)。

摘　　要：目的调查2型糖尿病患者在新型冠状病毒肺炎流行期间的心理状态及行为改变,为更好地进行血糖管理和心理、行为指导提供依据。方法纳入首都医科大学附属北京潞河医院标准化代谢性疾病管理中心(National Metabolic Management Center,MMC)内576名2型糖尿病患者,采用自编问卷结合焦虑、抑郁筛查量表开展横断面调查,并与同期未入MMC管理的2型糖尿病患者进行焦虑、抑郁发生率进行比较。结果在新型冠状病毒肺炎流行期间,68.4%的患者近2周指尖血糖浓度控制在空腹4.4~7.0 mmol/L、餐后2 h血糖10 mmol/L以下,69.1%的2型糖尿病患者运动量较前减少。MMC管理内的2型糖尿病患者的焦虑和抑郁发生率分别为27.1%和23.6%,低于同期未入MMC管理的患者,独居状态(OR=0.393,95%CI:0.160~0.965)、存在合并症或存在合并症个数多(OR=15.544,95%CI:9.632~25.084)的患者发生焦虑症状的风险高(均P<0.05);年龄较小(OR=0.541,95%CI:0.389~0.751)、独居患者(OR=0.398,95%CI:0.167~0.948)、存在合并症或合并症个数多(OR=7.409,95%CI:4.962~11.065)、血糖控制水平差(OR=0.659,95%CI:0.506~0.859)的患者发生抑郁症状的风险较高(均P<0.05)。结论在新型冠状病毒肺炎流行期,MMC管理的2型糖尿病患者焦虑、抑郁发生率较非MMC管理的患者低,多数患者血糖控制水平达标,对新型冠状病毒的认知较充分且行为以积极健康为主。Objective To investigate the behavior changes and psychological fluctuation of patients with type 2 diabetes during the COVID-19 pandemic period pandemic period,and to provide basis for better glucose management,psychological,behavioral guidance.Methods Totally 576 type 2 diabetic patients were subjected from the National Metabolic Management Center(MMC)in Beijing Luhe Hospital,based on the in-house questionnaires,Patient Health Questionnaire(PHQ-9)and Generalized Anxiety Disorder assessment(GAD-7)for the cross sectional analysis.The incidence of anxiety and depression was compared with that of type 2 diabetic patients who were not under MMC management during the same period.Results During 2019-nCoV pandemic period,68.4%of the patients’fingertip glucose level was controlled well in the past two weeks,with fasting blood glucose at 4.4-7.0 mmol/L and 2-hour postprandial blood glucose below 10 mmol/L.69.1%of type 2 diabetic patients had less physical exercise than before.The prevalence of anxiety and depression of the type 2 diabetic patients under the MMC management was 27.1%and 23.6%,respectively,lower than those without MMC management during the same period.Patients who lived alone(OR=0.393,95%CI:0.160-0.965),and who had one or more comorbidities(OR=15.544,95%CI:9.632-25.084)were at high risk of anxiety(All P<0.05).Those who were younger(OR=0.541,95%CI:0.389-0.751),lived alone(OR=0.398,95%CI:0.167-0.948),had one or more comorbidities(OR=7.409,95%CI:4.962-11.065),and had poor blood glucose control(OR=0.659,95%CI:0.506-0.859)were at higher risk of depression(All P<0.05).Conclusions During the epidemic period,the incidence of anxiety and depression in type 2 diabetic patients under MMC management was lower than that of patients not under MMC management,and blood glucose of the former was basically well controlled.The patients had a good knowledge of the 2019-nCoV.The cognition and behavior pattern of most patients managed by MMC were positive.

关 键 词：新型冠状病毒肺炎 2型糖尿病 标准化代谢性疾病管理中心 焦虑 抑郁 

分 类 号：R587[医药卫生—内分泌]