青少年1型糖尿病患者抑郁状况及影响因素调查

目的调查青少年1型糖尿病患者抑郁状况并探讨其影响因素，为制订治疗方案提供科学依据。方法采用抑郁自评量表和影响因素调查表对106例青少年1型糖尿病患者进行调查，分析影响青少年1型糖尿病患者抑郁状况的因素。结果青少年1型糖尿病患者抑郁阳性检出率为40．57％，患者起病年龄、出现酮症次数是患者抑郁发生的危险因素，文化程度、糖化血红蛋白是患者抑郁发生的保护因素。结论针对研究得出的因素，可定期对青少年1型糖尿病患者进行集中健康教育、开展咨询工作、举办集体活动、建立患者信息管理系统，增加与患者沟通，从而改善其心理状况。

Investigation of influencing factors of depression among adolescents with type 1 diabetes

Objective To investigate the status and influencing factors of depression of adolescents with type 1 diabetes, so as to provide scientific basis for formulating treatment schemes. Methods A total of 106 adolescents with type 1 diabetes were investigated with Self - Rating Depression Scale and a self - designed influencing factors questionnaire. The influencing factors of depression among adolescents with type 1 diabetes were analyzed. Results The positive rate of depression in adolescents with type 1 diabetes was 40.57%. The onset age and ketosis times were risk factors of depression. The education degree and HbA1 c level were protective factors of depression. Conclusion Multiple measures should be taken,including implementation of health education and consultation, organi- zing group activities, establishing the patient information management system, increasing the communication with the patients, to improve the psychological status of adolescents with type 1 diabetes.