The Relationship Between Diabetes Mellitus, Depression, and Missed Appointments in a Low-Income Uninsured Population
The Relationship Between Diabetes Mellitus, Depression, and Missed Appointments in a Low-Income Uninsured Population
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DOI：
10.1177/0145721709345164
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发表时间：
2009-11-01
影响因子：
3.9
通讯作者：
Rovnyak, Virginia
中科院分区：
文献类型：
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作者：
Bowser, Donna M.;Utz, Sharon;Rovnyak, Virginia
目的该项目的目的是确定在免费诊所获得护理的成人糖尿病患者的抑郁症发病率并记录其心理健康需求。收集数据是为了确定糖尿病与抑郁症和错过预约之间是否存在关系，该样本是低收入、无保险且代表不同种族群体的患者样本。 方法 183 名成年糖尿病患者作为样本，通过填写纸质和计算机问卷进行参与。工具包括患者健康问卷 9（衡量抑郁症患病率）、RAND 36 健康调查（衡量健康质量）、糖尿病依赖性生活质量审计（衡量糖尿病依赖性生活质量）和糖尿病赋权量表（衡量自我效能）。结果发现样本中中等或以上水平的抑郁症患病率为 30.1%。研究发现，患有抑郁症的人的健康质量和自我效能水平有所下降。参加免费诊所时间较长的人中，抑郁症发病率显着增加。与没有抑郁症的患者相比，糖尿病依赖性生活质量和错过预约方面没有发现显着差异。结论发现，在免费诊所中，成人糖尿病患者的抑郁发生率与其他针对参保人群的研究报告的最高发生率相当。这项研究的结果支持为免费诊所制定心理健康治疗计划的必要性。
PurposeThe purpose of this project is to identify rates of depression and document mental health needs of adults with diabetes who obtained care in free clinics. Data were collected to determine if there is a relationship between diabetes and depression and missed appointments in a sample of patients who were low-income, uninsured, and represented a variety of racial groups.MethodsA sample of 183 adults with diabetes participated by completing paper and computerized questionnaires. Instruments included the Patient Health Questionnaire 9 (to measure prevalence of depression), the RAND 36 Health Survey (to measure quality of health), the Audit of Diabetes Dependent Quality of Life (to measure diabetes-dependent quality of life), and the Diabetes Empowerment Scale (to measure self-efficacy).ResultsThe prevalence of depression at a moderate or greater level in the sample was found to be 30.1%. Levels of quality of health and self-efficacy were found to be reduced among those with the presence of depression. A significant increase in the rate of depression was found among those who had attended the free clinic for a longer period. No significant differences were found in diabetes-dependent quality of life and missed appointments among those with depression compared with those without.ConclusionsRates of depression among adults with diabetes in a free clinic setting were found to be comparable with the highest rates reported by other studies of insured populations. Results of this study support the need to develop mental health treatment programs for free clinic settings.