【摘要】 目的调查社区老年2型糖尿病(diabetes mellitus,DM)患者生存质量及抑郁、社会支持现状,为有针对性地进行社区干预提供依据。方法用方便抽样的方法抽取深圳市梅林社区老年2型DM患者,按照1∶1的比例选取人口学资料类似的无DM者作为对照组。两组患者均采用问卷调查,问卷包括一般资料、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)中文版、抑郁自评量表(SDS)、社会支持评定量表。结果两组被调查者的性别、年龄、婚姻状况、学历、退休前职业、家庭人均月收入、最近3个月内重大生活事件的发生率间差异均无统计学意义(P>0.05)。两组被调查者的生存质量间差异有统计学意义(P<0.01);生理领域、心理领域、总的生存质量状况评分及健康状况和生存质量综合评分间差异均有统计学意义(P<0.05)。两组被调查者抑郁发生率间差异有统计学意义(P=0.029);抑郁程度间差异有统计学意义(P=0.002);抑郁总分、抑郁指数间差异均有统计学意义(P<0.05)。糖尿病组抑郁患者与非抑郁患者的生存质量评分间差异有统计学意义(P<0.01);抑郁患者与非抑郁患者的生理领域、心理领域、社会领域、环境领域、总的生存质量状况评分及健康状况和生存质量综合评分间差异均有统计学意义(P<0.05)。两组被调查者的客观支持得分间差异有统计学意义(P=0.037)。结论老年2型DM患者生存质量下降,特别是生理、心理领域;DM患者抑郁发生率高于老年非DM者,且DM抑郁评分患者生存质量低于非抑郁者;老年2型DM患者获得的客观支持低于老年非DM者。更多还原

【Abstract】 Objective To investigate quality of life(QOL),depressive problems and social support received in DM-2 patients in communities,to provide reliable theoretical evidence for pertinent intervention.Methods Convenient sampling was used to select elderly DM-2 patients from a community in Shenzhen,and matched DM-free subjects were taken as contro1.There were 107 subjects in each group.A self-designed demographic data questionnaire,WHOQOL-BREF,Self-Rating Depression Scale and Social Support Rating Scale were used.A1l data were processed by SPSS 15.0 and compared by t test,test and multiple regression.ResultsThere was no significant difference in demographic data between 2 groups(P>0.05).Significant difference was found between 2 groups in QOL(P<0.01),in physiological and mental realms,QOL total scores and health condition.(P<0.05),in the incidence rate of depression(P=0.029),in the depression degree(P=0.002),in the total depression score and the depression index(P<0.05).In DM group,sufferers from depression were significantly different from non-sufferers in QOL scores(P<0.01),in physiological and mental states,society and environment realm,QOL total scores and healthy condition.(P<0.05).Difference in objective support score was significant between DM group and control(P=0.037).ConclusionQOL of DM-2 patients is decreasing,especially in aspects of physiology and psychology.Depression is more liable to occur in DM-2 patients,and with it QOL decreases.The external social support given to DM-2 patients is less than that to healthy control.更多还原