Factors related to quality of life for patients with type 2 diabetes with or without depressive symptoms - results from a community-based study in China
Factors related to quality of life for patients with type 2 diabetes with or without depressive symptoms - results from a community-based study in China
复制标题
DOI：
10.1111/jocn.12010
复制
发表时间：
2013-01-01
影响因子：
4.2
通讯作者：
Huo, Ran
中科院分区：
文献类型：
--
作者：
Liu, Yu;Maier, Manfred;Huo, Ran
目的探讨中国2型糖尿病伴或不伴抑郁症状患者生活质量的相关因素。背景：在有或无抑郁症状的2型糖尿病患者中，性别、社会背景、地区环境等不同因素对其生活质量有影响。设计采用横断面研究。方法采用整群抽样的方法，从北京市4个社区抽取791例2型糖尿病登记患者参与。使用抑郁自评量表筛查抑郁症状；收集人口统计学和临床数据，并使用适当的工具评估生活质量和社会支持。结果667例糖尿病患者抑郁症状发生率为44.2%。有抑郁症状患者的生活质量低于无抑郁症状患者，且与糖尿病并发症史、降糖药或胰岛素的使用、抑郁自评量表评分呈负相关，与工资、主观社会支持呈正相关。结论有抑郁症状患者与无抑郁症状患者的生活质量相关因素不同。对于有抑郁症状的患者，较高的工资和主观社会支持与其生活质量呈正相关，而糖尿病并发症的存在、抑郁症状得分较高、是否需要降血糖药物或胰岛素与其生活质量呈负相关。应在社区定期做这项工作，以便及时发现糖尿病合并抑郁的患者。另外，研究结果可为医院糖尿病患者的临床护理提供参考。
Aims and objectives To explore the factors related to quality of life for patients with type 2 diabetes with or without depressive symptoms in China.Background In patients with type 2 diabetes with or without depressive symptoms, different factors such as gender, social context or regional setting may affect their quality of life.Design This was a cross-sectional study.Methods Of 791 registered patients with type 2 diabetes from four communities in Beijing, cluster sampling was used to recruit patients for participation. Self-rating depression scale was used to screen for depressive symptoms; demographic and clinical data were collected, and quality of life and social support were assessed using appropriate tools. The factors associated with quality of life were tested using multivariate linear regression.Results The prevalence of depressive symptoms in 667 patients with diabetes was 44.2%. Quality of life of patients with depressive symptoms was worse than that of patients without depressive symptoms, and this was associated negatively with history of diabetic complications, usage of hypoglycaemic agents or insulin and self-rating depression scale scores and positively with salary and subjective social support.Conclusions The factors related to quality of life for patients with or without depressive symptoms are different. For patients with depressive symptoms, better salary and subjective social support are associated positively with their quality of life, while the presence of diabetic complications, a higher score for depressive symptoms and need for hypoglycaemic agents or insulin are negatively associated with quality of life.Relevance to clinical practice It is suggested that the nurse should screen depression for patients with diabetes, especially for those with diabetic complications or low social support. This should be done in the community regularly in order to find diabetic patients with depression in time. In addition, the results can provide a reference to clinical nursing care for patients with diabetes in hospitals.