陕北地区糖尿病前期患者焦虑抑郁现状及其与糖尿病防治知识认知程度的相关性  

Current Situation of Anxiety and Depression in Patients with Prediabetes in Shaanbei Area and its Correlation with the Knowledge of Diabetes Prevention and Treatment

作　　者：刘娟娟 贾秋利 LIU Juan-juan;JIA Qiu-li(Department of General Medicine,the First Affiliated Hospital of Yan'an University,Yan'an Shaanxi 716000)

机构地区：[1]延安大学第一附属医院全科医学科,陕西延安716000 [2]榆林市第一医院内分泌科,陕西榆林719000

出　　处：《医学临床研究》2023年第6期906-908,912,共4页Journal of Clinical Research

摘　　要：【目的】探讨陕北地区糖尿病前期患者焦虑抑郁现状及其与糖尿病防治知识认知程度的相关性。【方法】通过整群抽样的方法,调查2019年3月至2021年7月479例陕北地区糖尿病前期患者,统计479例糖尿病前期患者焦虑抑郁现状,其中焦虑和(或)抑郁症状者记为焦虑抑郁组,其余记为非焦虑抑郁组,比较焦虑抑郁组与非焦虑抑郁组的一般资料,采用Logistic多因素回归分析糖尿病前期患者焦虑抑郁的影响因素。【结果】479例糖尿病前期患者中,焦虑抑郁患者138例(28.81%),其中轻度焦虑抑郁72例(15.03%)、中度焦虑抑郁56例(11.69%)、重度焦虑抑郁10例(2.09%);剩余341例为非焦虑抑郁患者(71.19%)。焦虑抑郁组年龄较大、受教育程度为高中及以下、家庭月收入<5000元、肥胖、独居、离异或丧偶、有糖尿病家族史的占比均高于非焦虑抑郁组(P<0.05),糖尿防治知识认知总得分低于非焦虑抑郁组(P<0.05)。Logistic多因素回归分析结果显示:年龄较大、家庭月收入<5000元、离异或丧偶、有糖尿病家族史、糖尿防治知识认知总得分较低均是糖尿病前期患者焦虑抑郁的影响因素(P<0.05)。【结论】陕北地区糖尿病患者焦虑抑郁现状不容乐观,且糖尿病防治知识认知总得分为糖尿病前期患者焦虑抑郁的影响因素。【Objective】To investigate the current status of anxiety and depression in prediabetic patients in Shaanbei area,and to analyze the correlation with the knowledge of diabetes prevention and treatment.【Methods】Through the method of cluster sampling,479 patients with prediabetes in Shaanbei area from March 2019 to July 2021 were investigated.Anxiety and depression status of 479 patients with prediabetes was counted.Among them,patients with anxiety and/or depression symptoms were recorded as the anxiety and depression group,and the rest were recorded as the non-anxiety and depression group.The general data of the anxiety-depression group and the non-anxiety-depression group were compared.Logistic multivariate regression was used to analyze the influencing factors of anxiety and depression in patients with prediabetes.【Results】Among the 479 patients with prediabetes,138 patients(28.81%)were anxiety and depression patients,including 72 patients(15.03%)mild anxiety and depression patients,56 moderate anxiety and depression patients(11.69%),and 10 severe anxiety and depression patients(2.09%).The remaining 341 cases were non-anxiety and depression patients(71.19%).The age,education level of high school or below,family monthly income<5000 yuan,obesity,living alone,divorced or widowed cases,proportion of cases with family history of diabetes,waist circumference in the anxiety and depression group were higher than those in the non-anxiety and depression group(P<0.05).The total cognitive score of diabetes prevention and treatment knowledge in the anxiety and depression group was lower than that in the non-anxiety and depression group(P<0.05).Logistic multivariate regression analysis,the results showed that age,family monthly income<5000 yuan,divorced or widowed,family history of diabetes,and total cognitive scores of diabetes prevention and treatment knowledge were all associated with anxiety and depression in patients with prediabetes Influencing factors(P<0.05).【Conclusion】The current situation of anxiety a

关 键 词：糖尿病前期 抑郁 焦虑 健康教育 认知 

分 类 号：R587.1[医药卫生—内分泌]