Quality of Life, Depression, and Healthcare Resource Utilization among Adults with Type 2 Diabetes Mellitus and Concomitant Hypertension and Obesity: A Prospective Survey
Quality of Life, Depression, and Healthcare Resource Utilization among Adults with Type 2 Diabetes Mellitus and Concomitant Hypertension and Obesity: A Prospective Survey
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DOI：
10.1155/2012/404107
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发表时间：
2012-01-01
影响因子：
2.1
通讯作者：
Grandy, Susan
中科院分区：
文献类型：
--
作者：
Green, Andrew J.;Bazata, Debbra D.;Grandy, Susan
背景。本研究比较了2型糖尿病（T2DM）合并高血压（HTN）和肥胖的成年人与单独报告T2DM的成年人的生活质量、抑郁和医疗资源利用情况。方法。美国SHIELD调查的受访者自我报告了他们的身高、体重、合并症、住院情况和门诊就诊情况，并完成了简短表格12 （SF-12）和患者健康问卷（PHQ-9）。报告T2DM、HTN和肥胖（体重指数，BMI, >= 30 kg/m(2)）的受访者与单独T2DM组进行比较。结果。T2DM、HTN和肥胖的受访者（n = 1292）的SF-12身心成分总结得分（分别为37.3分和50.9分）明显低于单纯T2DM的受访者（n = 349）（分别为45.8分和53.5分）。， p < 0.0001)。伴有HTN和肥胖的T2DM应答者的平均PHQ-9评分明显更高（5.0比2.5,P < 0.0001），表明更大的抑郁负担。T2DM、HTN和肥胖的受访者在就诊和急诊室就诊方面的资源利用率明显高于单纯T2DM的受访者（P = 0.03）。结论。与单纯T2DM组相比，伴有T2DM、HTN和肥胖合并症的SHIELD应答者报告了更高的医疗资源利用率、更多的抑郁症状和更低的生活质量。
Background. This study compared quality of life, depression, and healthcare resource utilization among adults with type 2 diabetes mellitus (T2DM) and comorbid hypertension (HTN) and obesity with those of adults reporting T2DM alone. Methods. Respondents to the US SHIELD survey self-reported their height, weight, comorbid conditions, hospitalizations, and outpatient visits and completed the Short Form-12 (SF-12) and Patient Health Questionnaire (PHQ-9). Respondents reporting T2DM and HTN and obesity (body mass index, BMI, >= 30 kg/m(2)) were compared with a T2DM-alone group. Results. Respondents with T2DM, HTN, and obesity (n = 1292) had significantly lower SF-12 Physical and Mental Component Summary scores (37.3 and 50.9, resp.) than T2DM-alone respondents (n = 349) (45.8 and 53.5, resp., P < 0.0001). Mean PHQ-9 scores were significantly higher among T2DM respondents with comorbid HTN and obesity (5.0 versus 2.5, P < 0.0001), indicating greater depression burden. Respondents with T2DM, HTN, and obesity had significantly more resource utilization with respect to physician visits and emergency room visits but not hospitalizations than respondents with T2DM alone (P = 0.03). Conclusions. SHIELD respondents with comorbid conditions of T2DM, HTN, and obesity reported greater healthcare resource utilization, more depression symptoms, and lower quality of life than the T2DM-alone group.