【摘要】 目的为了解糖尿病人群的抑郁、焦虑情绪现状,探索糖尿病人群的社区心理干预模式,提高糖尿病人的服药依从性,降低患病率、致残率、病死率。方法:在社区按分层整群随机抽样方法抽取13个村、居委,在健康档案系统中调取这13个村、居委糖尿病人2782名作为研究对象,开展抑郁、焦虑情绪问卷调查,完成问卷2525份。结果:糖尿病合并抑郁倾向160例(阳性率6. 33%),合并焦虑倾向85例(阳性率3. 37%);病程(5-10年、10-20年、20年以上)、轻度运动对糖尿病伴发抑郁倾向有预测作用;病程(5-10年、10-20年、20年以上)轻度运动对伴发焦虑倾向有预测作用。结论:糖尿病病程越长,抑郁、焦虑情绪越严重;糖尿病患者轻度运动较不运动、中度运动伴发抑郁和焦虑倾向可能性低。因此,我们需要对糖尿病人群开展有针对性的心理干预措施。更多还原

【Abstract】 Objective To investigate the status of depression and anxiety in diabetics,and to explore the community psychological intervention model,so as to improve the medication compliance,reduce the prevalence,disability and mortality rate in diabetics. Methods The stratified random sampling method was used to take samples of 2782 patients with diabetes mellitus from health archive system,which was distributed in 13 villages or neighbourhood committees. 2525 questionnaires of depression and anxiety were finally reclaimed. Results 160 cases of diabetics were found with depression( positive rate of 6.33%) and 85 cases with anxiety( positive rate of 3. 37%),respectively. Introverted personality,a long course of disease and light exercise were trigger factors for depression and anxiety. Conclusion The longer the course of diabetes,the worse the depression and anxiety. Less exercise is also an important factor for depression and anxiety. Therefore,targeted psychological intervention measures for diabetics should be taken.更多还原