老年2型糖尿病患者焦虑情绪障碍危险因素的分析

目的了解老年2型糖尿病患者焦虑情绪障碍的患病情况及其危险因素。方法对156例老年2型糖尿病患者进行一般情况、代谢指标等检查，并对患者的心理状态、影响病情变化的相关精神因素进行问卷调查。采用焦虑自评量表评价受试者的焦虑状态，采用Logistic回归模型分析老年2型糖尿病患者的焦虑情绪障碍与相关影响因素的关系。结果本组患者中有48例有焦虑情绪障碍，占30．77％。单因素分析发现，吸烟史、糖化血红蛋白、眼底病变、家族史、并发症数目、担心无法根治、担心会导致并发症、因控制饮食痛苦、担心长期依赖胰岛素是本组患者焦虑情绪障碍的危险因素；多因素分析结果显示，糖化血红蛋白、眼底病变、并发症数目、担心长期依赖胰岛素与老年2型糖尿病患者焦虑情绪障碍存在显著的统计学联系。结论焦虑情绪障碍在老年2型糖尿病患者中患病率较高，糖尿病治疗应将心理治疗视为临床治疗的一部分。

Analysis on the risk factors of anxiety related emotional disorders in old patients with type 2 diabetes

Objective To know the prevalence and its risk factors of the anxiety related emotional disorders in old patients with type 2 diabetes. Methods 156 old patients with type 2 diabetes were inspected about the general information and the metabolism indexes. The mental states and the related spirit factors that influencing the disease changes were surveyed with the questionnaire. The anxiety status of subjects was evaluated with SAS (the self-rating anxiety scale). The relationship between the anxiety related emotional disorders of old patients with type 2 diatbetes and the influencing factors was analyzed with the Logistic regression model. Results 48 cases of this group had the anxiety related emotional disorders, accounting for 30. 8%. The single factor analysis found that the smoking history, HbAlc, the pathological changes of eyeground, the family history, the number of complications, the worry about not effecting a redical cure, the worry about resulting in comphcations, the uncomfortableness resulting from controlling diet, the worry about depending on insulin forevermore were the risk factors of anxiety related emotional disorders in this group. The results of multiple factor analysis showed that HbAlc, the pathological changes of eyeground, the number of complications and the worry about depending on insulin forevermore had obviously statistical relation with the anxiety related emotional disorders of old patients with type 2 diatbetes. Conclusions The prevalence rate of anxiety related emotional disorders is higher in old patients with type 2 diatbetes. The mental therapy should be regared as the part of clinical therapy in the treatment of diabetes mellitus.