糖耐量异常患者心理状况及生活质量的调查

目的探讨糖耐量异常患者的焦虑抑郁状况及其与生活质量的相关性，为糖尿病相关心理问题的早期识别与干预提供参考。方法以2010年1月-2012年6月糖耐量异常患者145例为试验组，健康人群147例作为对照组，两组分别填写焦虑自评量表（SAS）和抑郁自评量表（SDS），试验组还需填写世界卫生组织生活质量测定量表简表（WHOQOL．BREF）并对其焦虑、抑郁得分与WHOQOL-BREF的各因子的相关性进行分析。结果145例患者中有51例（35．2％）存在抑郁情绪，47例（32．4％）存在焦虑情绪，焦虑合并抑郁情绪者29例（20％）。糖耐量异常患者焦虑、抑郁评分明显高于对照组（P〈0．01），其生活质量多个领域评分低于对照组（P〈0．01），且生活质量与焦虑、抑郁情绪存在负相关（P〈0．05）。结论糖耐量异常患者焦虑、抑郁情绪明显高于正常人群，其生活质量偏低，提示了对在该人群进行早期心理干预的必要性。

Research on the Mental Health and Quality of Life of Patients with Impaired Glucose Tolerance

Objective To investigate the correlation between the status of depression and anxiety, and quality of life of patients with impaired glucose tolerance （IGT） in order to provide reference for early identification and intervention of diabetes-related psychological problems. Methods A total of 145 patients with IGT diagnosed between January 2010 and June 2012 and 147 healthy volunteers were evaluated by self-rating anxiety scale （SAS） and self-rating depression scale （SDS）. Patients with IGT also answered World Health Organization Quality of Life Questionnaire abbreviated version （WHOQOL-BREF）, and then we analyzed the correlation between emotion state and factors of quality of life. Results There were 51 （35.2%） patients with depressive symptoms, 47 （32.4%） patients with anxiety symptoms, and 29 （20%） patients with both depressive and anxiety symptoms. Scores of anxiety and depression in the experimental group were significantly higher than those in the control group （P 〈 0.01）, and scores of several fields of life quality were significantly lower （P 〈 0.01）. Besides, we found that quality of life, anxiety and depression were negatively correlated （P 〈 0.05）. Conclusion Most IGT patients are enduring anxiety, depression and low life quality, which prompts the need to strengthen the psychological intervention in preventing diabetes development.