Effect of Mental health and family functioning on glycemic control in patients with diabetes mellitus

本研究的目的是调查抑郁症对日本2型糖尿病患者及其家庭成员的生活质量、家庭功能、血糖控制的影响。从参加为期两周的教育干预计划的住院患者中连续抽取门诊2型糖尿病成人患者。在干预计划前后以及6个月后，受试者及其家庭成员完成了关于抑郁、焦虑、糖尿病相关生活质量和家庭功能的问卷。基线时的“抑郁患者”比干预前的“非抑郁患者”感知到的糖尿病相关生活质量（包括家庭功能）显著更差。在6个月的随访中，抑郁症患者的总体健康状况、不适当的家庭沟通和HbA1c值仍明显低于非抑郁症患者。因此，糖尿病护理专业人员应注意照顾患者的情绪状态，并进行干预，以促进患者和他们的照顾者之间更适当和有效的沟通。

The aim of the study was to investigate the impact of depression on quality of life, family functioning, glycemic control among treatment-resistant Japanese patients with type 2 diabetes and their family members. Ambulatory adult patients with type 2 diabetes were drawn consecutively from the inpatient population participated in a two-week educational intervention program. Before and after the intervention program, and also 6 months later, the subjects and their family members completed packets of questionnaires about depression, anxiety, diabetes-related quality of life, and family functioning. “Depressed Patients” at baseline perceived significantly worse diabetes-related quality of life including family functioning than “Non-depressed Patients” before the intervention. At the 6-month follow-up, Depressed Patients still showed significantly worse general health, inappropriate familial communication and higher HbA1c values than Non-depressed Patients. Consequently, diabetes care professionals should devote attention to taking care of mood status of patients, and intervene to promote more appropriate and effective communication among patients and their caregivers.