| 摘要: |
| ［摘要］ 目的 分析朝阳地区糖尿病病人抑郁症的发病情况，以及年龄、性别、文化程度、经济状况、病程等对抑郁症的影响，有针对性的对患有抑郁症的糖尿病患者进行干预治疗，以有效控制其病情。 方法 采用问卷调查和抑郁自评量表（SDS）对研究对象进行评定；将合并抑郁症患者随机分为干预治疗组和对照组；对照组按常规治疗，干预组在常规治疗基础上，给予健康教育、心理及抗抑郁药物治疗。结果 334例糖尿病患者中合并抑郁症138例，患病率为41.3%。通过多因素回归分析发现学历、收入、体力劳动强度、脑力强度、业余活动、糖尿病病程、糖尿病并发症等是糖尿病合并抑郁症的7个重要危险因素。干预组经干预治疗后FBG、2hPBG、HbA1c及抑郁评分明显降低，与对照组比较差异有统计学意义（P<0.05）。结论 2型糖尿病患者抑郁症发生率较高，该研究提供了高危个体界定标准，对此类人群应在医生指导下有针对性地进行干预治疗，以减少发生抑郁症的可能性。 |
| 关键词: 糖尿病 抑郁症 危险因素 干预 朝阳地区 |
| DOI：10.3969/j.issn.1674-3806.2010.05.09 |
| 分类号:R 587.1 |
| 基金项目: |
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| Investigation on the status of type 2 diabetic patients with depression and analysis on its related risk factors in Chaoyang area |
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ZHANG Hai-guang, WANG Yan, WANG Xu-hui
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Department of Endocrinology, the Second Hospital of Chaoyang, Liaoning 122000,China
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| Abstract: |
| ［Abstract］ Objective To analyze the incident rate of depression in type 2 diabetic patients and to investigate its influencing factors including age, gender, education level, financial situation and disease course. The type 2 diabetic patients with depression were treated with relevant intervention strategy to effectively control the development of the disease.Methods Of All the type 2 diabetic patients who were assessed with a questionnaire and self-rating depression scale (SDS), those with depression were randomized into the intervention group and the control group. The patients in the intervention group, in addition to conventional therapy,were supplemented by health education，psychological counseling and fluoxetine.Results Of the 334 type 2 diabetic patients, 138 (41.3%) patients were complicated with depression. A multifactor retrospective analysis was performed to determine the 7 risk factors including education level, income, physical labor intensity, mental intensity, leisure-time activities, course of diabetes, complications of diabetes. With the intervention treatment, the scores of FBG、2hPBG、HbA1c and SDS in the intervention group were significantly decreased than those in the control group（P<0.05）.Conclusion A defined standard for the high risk individuals were established in the study to implement the intervention treatment under the physicians′ guidance to minimize the risk of the frequent depression in type 2 diabetic patients. |
| Key words: Diabetes Depression Risk factor Intervention Chaoyang area |
