伴有抑郁的2型糖尿病患者生活质量及家庭功能

目的:探讨伴有抑郁的2型糖尿病患者生活质量及家庭功能特征。方法:采用生活质量量表(QLESQ)、家庭功能量表(FAD)以及贝克抑郁量表(BDI)对50例2型糖尿病患者(糖尿病组)及50名正常人(正常对照组)进行调查。结果:38%(19/50例)的2型糖尿病患者伴有抑郁。糖尿病组FAD评分中情感卷入及行为控制维度在不健康家庭功能范围内;QLESQ总分(32.49±5.86)分明显低于正常对照组(37.76±5.38)分(P<0.01)。糖尿病组FAD的问题解决、角色和情感卷入维度与抑郁症状呈正相关(r分别=0.426、0.339、0.454,P<0.05或P<0.01);QLESQ总分与家庭功能的角色和行为控制维度呈负相关(r分别=-0.292、-0.344,P<0.01)。结论:伴发抑郁的2型糖尿病患者生活质量差且家庭功能有缺陷。

Investigation on quality of life and family functioning in type 2 diabetic patients with depression

Objective:To study the characteristics of quality of life and family function in type 2 diabetic patients with depression.Method:Fifty patients with type 2 diabetes mellitus and fifty healthy normal controls were assessed with quality of life enjoyment and satisfaction questionnaire(QLESQ),family assessment device(FAD) and Beck depression inventory(BDI).Results:Thirty-eight percent patients(19/50 cases)with type 2 diabetes mellitus suffered from depression.Affective involvement and behavioral control of FAD among type 2 diabetic patients were on the unhealthy area;the QLESQ scores(32.49±5.86) score in patients group with type 2 diabetes mellitus were markedly lower than the normal group(37.76±5.38) score,and there was significant difference between two groups(P<0.01).The depression for patients with type 2 diabetes mellitus was positively correlated with the three dimensions including problem solving,roles and affective involvement(r=0.426,0.339,0.454;P<0.05 or P<0.01);the QLESQ scores among patients with type 2 diabetes mellitus was negatively correlated with the two dimensions including roles and behavioral control(r=-0.292,-0.344;P<0.01).Conclusion:The diabetic patients with depression have perceived poor quality of life and impairment of family functioning.