CAJ | 학술논문

目的探讨2型糖尿病患者抑郁情绪与生命质量、人格的关系.方法对246例住院2型糖尿病患者应用自评抑郁量表(SDS)、糖尿病特异性生命质量测定量表(A-DQOL)和艾森克人格量表(EPQ)进行评估,将收集到的数据进行相关统计分析.结果根据SDS评分,171例糖尿病患者伴发不同程度的抑郁情绪(抑郁组),75例没有伴发抑郁(非抑郁组).两组患者在A-DQOL的4个维度和EPQ的神经质、内外向方面比较差异有统计学意义(P＜ 0.01或＜0.05).糖尿病患者伴发的抑郁情绪与患者A-DQOL的4个维度,EPQ的神经质、内外向、病程显著相关(r=-0.243～ 0.392,P＜ 0.01或＜0.05).忧虑程度Ⅱ、满意程度、病程进入抑郁的回归方程(β=-0.205～0.322,P＜0.01或＜ 0.05).结论 A-DQOL的忧虑程度Ⅱ、满意程度及EPQ的病程是影响糖尿病伴发抑郁情绪的重要因素,神经质、内外向可能是2型糖尿病患者伴发抑郁状态的易感人格特征.在临床工作中,以患者为中心,从改变人格和情绪着手进行干预,使糖尿病患者心与身形成良性互动,是使糖尿病患者由一个有问题的人变为一个解决问题的人的重要路径.
목적 탐토2형당뇨병환자억욱정서여생명질량、인격적관계.방법 대246례주원2형당뇨병환자응용자평억욱량표(SDS)、당뇨병특이성생명질량측정량표(A-DQOL)화애삼극인격량표(EPQ)진행평고,장수집도적수거진행상관통계분석.결과 근거SDS평분,171례당뇨병환자반발불동정도적억욱정서(억욱조),75례몰유반발억욱(비억욱조).량조환자재A-DQOL적4개유도화EPQ적신경질、내외향방면비교차이유통계학의의(P＜ 0.01혹＜0.05).당뇨병환자반발적억욱정서여환자A-DQOL적4개유도,EPQ적신경질、내외향、병정현저상관(r=-0.243～ 0.392,P＜ 0.01혹＜0.05).우필정도Ⅱ、만의정도、병정진입억욱적회귀방정(β=-0.205～0.322,P＜0.01혹＜ 0.05).결론 A-DQOL적우필정도Ⅱ、만의정도급EPQ적병정시영향당뇨병반발억욱정서적중요인소,신경질、내외향가능시2형당뇨병환자반발억욱상태적역감인격특정.재림상공작중,이환자위중심,종개변인격화정서착수진행간예,사당뇨병환자심여신형성량성호동,시사당뇨병환자유일개유문제적인변위일개해결문제적인적중요로경.
Objective To study the relationship among depression associated type 2 deabetes mellitus (T2DM) and personality and quality of life.Methods A total of 246 cases of hospitalized T2DM patients were investigated by schedule tables:self-rating depression scale (SDS),Eysenck personality questionaire (EPQ) and adjusted diabetes-specific quality of life scale (A-DQOL).According to the results of SDS,patients were divided into depression group (171 cases) and non-depression group (75 cases).Correlation analysis and regression analysis were carried out for the collected data.Results There were differences in satisfaction,influence,anxiety Ⅰ,anxiety Ⅱ,neuroticism and extraversion between the two groups(P ＜ 0.05 or P ＜ 0.01).Depression extents was related to the quality of life,neuroticism,extraversion and course(r =-0.243-0.392,P ＜ 0.05 or P ＜ 0.01).Anxiety Ⅱ,satisfaction and course enter the regression equation of depression (β =-0.205-0.322,P ＜ 0.05 or P ＜ 0.01).Conclsion Anxiety Ⅱ,satisfaction and course are key factors inducing depression in T2DM.Neuroticism and extroversion may be the predisposing personality characteristics in T2DM patients with depression.In clinical work,it is helpful for treatment by changing personality and mood of patients.