社区老年糖尿病患者抑郁影响因素研究  

Risk factors of depression in elderly diabetic patients in the community

作　　者：张秀娟[1] 李海辉[1] 高欣[2] 杨欢 殷召雪[2] Zhang Xiujuan;Li Haihui;Gao Xin;Yang Huan;Yin Zhaoxue(Department of Endocrinology,Bejing Chaoyang Hospital,Capital Medical University,Beijing 100043,China;Division of Non-communicable Diseases and Elderly Health Management,Chinese Center for Disease Control and Prevention,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京朝阳医院内分泌科,北京100043 [2]中国疾病预防控制中心慢病和老龄健康管理处,北京100050

出　　处：《疾病监测》2021年第12期1337-1340,共4页Disease Surveillance

基　　金：国家重点研发计划(No.2020YFC2003000)。

摘　　要：目的研究影响社区老年糖尿病患者合并抑郁的因素,为防控措施的制定提供基础数据和理论依据。方法选取健康老龄化评估研究中的老年糖尿病患者,收集其社会人口学基本信息、行为生活方式、膳食摄入及患病情况,进行体格测量,利用老年人抑郁量表评估抑郁状况。分别利用多重线性回归模型和logistic回归模型分析抑郁的影响因素。结果多重线性回归模型和多因素logistic回归均显示,在糖尿病患者中,教育程度高、在婚、富裕程度好、坚持体育锻炼均是抑郁的保护性因素(P<0.05);而睡眠障碍和注射胰岛素则是抑郁的危险因素(P<0.05),OR值(95%CI)分别为3.08(2.10~4.51)和1.66(1.09~2.52)。结论糖尿病合并抑郁的影响因素较复杂,包括教育程度、婚姻状况、富裕程度、体育锻炼、睡眠障碍和胰岛素治疗。Objective To explore risk factors of depression among the elderly diabetic patients in the community.Methods All elderly diabetic patients(n=714)from the baseline survey of community-based Healthy Aging Evaluation Longitudinal Study in China(HAELS)were included,information including socio-demographic variables,behavior and lifestyles,food intake,treatment for diabetes and prevalence of other disease was collected,physical examination was conducted,and depression status was assessed using the Geriatric Depression Scale(GDS).Multiple linear regression models and logistic regression models were run to analyze the potential risk factors.Results Both multiple linear regression models and logistic regression models showed,high education level,married marriage status,self-reported high wealth rank and adherence to physical exercise were all protective factors;while sleep disorder and insulin treatment were all risk factors,with OR(95%CI)of 3.08(2.10-4.51)and 1.66(1.09-2.52),respectively.Conclusion The risk factors of depression in diabetic patients were very complicated,including education level,marital status,self-reported wealth rank,adherence to physical exercise,sleep disorder and insulin treatment.

关 键 词：糖尿病 抑郁 影响因素 老年人 

分 类 号：R211[医药卫生—中医学] R587.1