CAJ | 학술논문

目的：探讨老年2型糖尿病患者抑郁情绪和负性态度与糖代谢指标之间的相互关系。方法采用老年抑郁量表和自行编制的老年生活观量表，评价370例老年2型糖尿病患者的抑郁情绪和负性态度；同时测量患者的空腹血糖和糖化血红蛋白。结果多元回归分析结果显示，女性、并发症数目增多、糖代谢紊乱、长期治疗和消极生活态度对抑郁情绪有促进作用，糖代谢控制不良可形成抑郁情绪和消极生活态度；负性情绪、态度和生活事件（丧偶、离异）又可加重糖代谢紊乱。结论抑郁情绪和负性态度与糖代谢指标之间互为因果-加重关系。
목적：탐토노년2형당뇨병환자억욱정서화부성태도여당대사지표지간적상호관계。방법채용노년억욱량표화자행편제적노년생활관량표，평개370례노년2형당뇨병환자적억욱정서화부성태도；동시측량환자적공복혈당화당화혈홍단백。결과다원회귀분석결과현시，녀성、병발증수목증다、당대사문란、장기치료화소겁생활태도대억욱정서유촉진작용，당대사공제불량가형성억욱정서화소겁생활태도；부성정서、태도화생활사건（상우、리이）우가가중당대사문란。결론억욱정서화부성태도여당대사지표지간호위인과-가중관계。
Objective To investigate the relationship between depression and negative attitudes and glucose metabolism in elderly patients with type 2 diabetics .Methods Geriatric Depression Scale and self -prepared scale measuring the patient's outlook on life were used to evaluate depression and negative attitudes in 370 elderly patients with type 2 diabetes.Fasting blood glucose(FBG)and glycosylated hemoglobin (HbA1c)were measured respectively. Results Multiple regression analysis showed that the factors including women , increased complications , dysfunction of glucose metabolism ,long-term therapy and negative attitude would promote the development of depression .Poor con-trol of blood glucose would cause depression and negative attitude of life .Negative emotions ,attitudes and life events (widowed,divorced)can also exacerbrate glucose metabolism disturbance .Conclusion Reciprocal causation is found between depression and negative attitudes and glucose metabolism .