CAJ | 학술논문

目的调查2型糖尿病(T2DM)患者常见心理障碍及其对糖尿病治疗的影响.方法对120例T2DM患者(DM组)和50名正常对照(NC组)进行常规检查,测定糖尿病及并发症相关指标,采用心理学量评价受试者的心理状态,分析T2DM患者的心理状况并探讨其对糖尿病治疗的影响.结果 DM组32.5%存在抑郁,18.3%存在焦虑,人格特征表现为外倾个性、情绪不稳定、紧张不安等.自我评价明显减低.合并抑郁、焦虑的T2DM患者对血糖及并发症的控制较差.结论 T2DM患者存在心理障碍,这些心理障碍严重影响着糖尿病的治疗与转归.
목적 조사2형당뇨병(T2DM)환자상견심리장애급기대당뇨병치료적영향.방법 대120례T2DM환자(DM조)화50명정상대조(NC조)진행상규검사,측정당뇨병급병발증상관지표,채용심이학량평개수시자적심리상태,분석T2DM환자적심리상황병탐토기대당뇨병치료적영향.결과 DM조32.5%존재억욱,18.3%존재초필,인격특정표현위외경개성、정서불은정、긴장불안등.자아평개명현감저.합병억욱、초필적T2DM환자대혈당급병발증적공제교차.결론 T2DM환자존재심리장애,저사심리장애엄중영향착당뇨병적치료여전귀.
Objective To investigate the psychological disorders and their effect on the therapeutic efficacy in type 2 diabetes(T2DM).Methods FBG,PBG,HbA1c,TG,CH,urine albumine,urine Cr were tested in 120 T2DM patients(male 51,female 69),simultaneously the psychological status was evaluated with the measuring scales of SDS,SAS,PEI and EPQ.The effect of abnormal psychological status on treatment of type 2 diabetes was analyzed.Results 32.5% patients had depression,and 18.3% had anxiety.The scores of the patients were remarkably higher than those of the controls.The total scores of E,N,P of EPQ were higher and the score of PEI was lower in the patients with T2DM than those in the healthy subjects.Diabetes disease status of the patients with psychological disorders was more severe than that of the patients without abnormal psychology.Conclusions Psychological disorders are common in T2DM patients.The psychological disorders can effect the treatment effect and prognosis of type 2 diabetes.