CAJ | 학술논문

目的探讨2型糖尿病伴发抑郁障碍的危险因素和干预策略.方法选取住院治疗的2型糖尿病患者312例作为研究对象,采用Zung抑郁自评量表(SDS)对其进行测评,评价不同组别患者抑郁指数.结果年龄＞55岁患者其SDS指数高于年龄≤55岁的患者(t=2.142,P＜0.05)；男性患者SDS评分指数明显低于女性患者(t=2.301,P＜0.05)；糖尿病病程大于5年的患者,其SDS指数大于病程小于5年的患者(t =2.872,P＜0.05)；坚持使用胰岛素治疗的患者其SDS指数低于未使用胰岛素或不能坚持使用胰岛素治疗的患者(t =2.029,P＜0.05)；糖尿病并发症多于2个的患者其SDS指数明显高于并发症较少的患者(t=2.471,P＜0.05).结论积极控制血糖,加强心理干预是减少2型糖尿病伴发抑郁障碍的干预策略.
목적 탐토2형당뇨병반발억욱장애적위험인소화간예책략.방법 선취주원치료적2형당뇨병환자312례작위연구대상,채용Zung억욱자평량표(SDS)대기진행측평,평개불동조별환자억욱지수.결과 년령＞55세환자기SDS지수고우년령≤55세적환자(t=2.142,P＜0.05)；남성환자SDS평분지수명현저우녀성환자(t=2.301,P＜0.05)；당뇨병병정대우5년적환자,기SDS지수대우병정소우5년적환자(t =2.872,P＜0.05)；견지사용이도소치료적환자기SDS지수저우미사용이도소혹불능견지사용이도소치료적환자(t =2.029,P＜0.05)；당뇨병병발증다우2개적환자기SDS지수명현고우병발증교소적환자(t=2.471,P＜0.05).결론 적겁공제혈당,가강심리간예시감소2형당뇨병반발억욱장애적간예책략.
Objective To investigate the risk factors of type 2 diabetic patients with depressive disorder and intervention strategies.Methods 312 hospitalized patients with type 2 diabetes were selected as the research subjects,Zung Self-Rating Depression Scale (SDS) was used to evaluate the depression index of the different groups of patients.Results The SDS of patients more than 55 years old was higher than that of under 55 years old (t =2.142,P ＜ 0.05).The SDS score index of male patients was significantly lower than female patients (t =2.301,P ＜0.05).The SDS index of patients with duration of diabetes more than 5 years was higher than the course less than 5 years (t =2.872,P ＜ 0.05).The SDS index of patients with insulin treatment was lower than those without insulin or cannot insist to use the insulin treatment(t =2.029,P ＜ 0.05).SDS index of patients with more than 2 diabetic complications was significantly higher than those with less complications (t =2.471,P ＜ 0.05).Conclusion Positive control of blood sugar,enhance psychological intervention is the intervention strategies to reduce the incidence of depressive disorder in patients with type 2 diabetes.