CAJ | 학술논문

目的：了解Ⅱ型糖尿病老年人抑郁现状及HbA1c水平,探讨Ⅱ型糖尿病老年人抑郁与HbA1c水平的关系.方法采用便利抽样法对Ⅱ型糖尿病老年人共316名进行抑郁问卷调查,并对其进行相关生化检查.结果47.5%的Ⅱ型糖尿病老年人糖化血红蛋白(HbA1c)呈高值,且抑郁检出率为25.6%；抑郁组与非抑郁组Ⅱ型糖尿病老人FPG,2h-PG及HbA1c等生化指标存在差异(P<0.01)；多因素Logistic回归分析结果表明：民族、并发症、抑郁是影响HbA1c水平的重要因素.结论Ⅱ型糖尿病老年人抑郁症状普遍存在,抑郁患者血糖控制能力较差,临床医生应注重糖尿病老年人的心理治疗,帮助患者及早摆脱不良心理,恢复自信,降低HbA1c水平,有效控制血糖.
목적：료해Ⅱ형당뇨병노년인억욱현상급HbA1c수평,탐토Ⅱ형당뇨병노년인억욱여HbA1c수평적관계.방법채용편리추양법대Ⅱ형당뇨병노년인공316명진행억욱문권조사,병대기진행상관생화검사.결과47.5%적Ⅱ형당뇨병노년인당화혈홍단백(HbA1c)정고치,차억욱검출솔위25.6%；억욱조여비억욱조Ⅱ형당뇨병노인FPG,2h-PG급HbA1c등생화지표존재차이(P<0.01)；다인소Logistic회귀분석결과표명：민족、병발증、억욱시영향HbA1c수평적중요인소.결론Ⅱ형당뇨병노년인억욱증상보편존재,억욱환자혈당공제능력교차,림상의생응주중당뇨병노년인적심리치료,방조환자급조파탈불양심리,회복자신,강저HbA1c수평,유효공제혈당.
Objective The aim of this study was to investigate the current situation of depression and HbA1 c level in type 2 diabetes mellitus elderly with depression;to discuss the relationship between the depression and the HbA1clevel in elderly with type 2 diabetes mellitus. Methods 316 elderly with type 2 diabetes mellitus were randomly selected with convenience sampling method for the questionnaire of depression. Results There were 47. 5% type 2 diabetes mellitus elderly with high level of HbA1C,and 25. 6% of them with depression;there were significant differences in FPG,2h-PG and HbA1c between depressive and non-depressive type 2 diabetes mellitus elderly(P<0. 01);the multi-factor logistic regression analysis revealed that ethnic,complication and depression should be important factors to affect the HbA1c level. Conclusions Depressive symptoms in elderly with type 2 diabetes mellitus are ubiquitous, and the ability of depressive patients to control the blood sugar level is poor. The clinical doctors should pay more attention to the psychotherapy in them,to help them to get over the unhealthy psychology and gain the confidence as soon as possible, which may be beneficial to decrease HbA1c level,and then the effective control of blood sugar level.