Relationship between depressive disorder and quality of life and social support in type 2 diabetes patients in community
Objective To investigate current situation and characteristics of type 2 diabetes patients comorbid de-pressive disorder in community,and to explore the association of comorbid depression disorder with quality of life and social support in type 2 diabetes patients.Methods Self-compiled general situation questionnaire of diabetes patients,Chung de-pression scale,diabetes-specific quality of survival scale(DSQL)and social support scale(SSRS)were used,and mul-tiple Logistic regression model was conducted to analyze the relationship between depressive symptoms and family sup-port.Results The screening rate for depressive symptoms was 42.6％.Logistic regression model showed that type 2 diabetes patients who had HbA1c≥7 mmol/L,or FPG≥8.6 mmol/L,or who were leaders in state organs,party-mass organizations or enterprises and institutions,or who was professional and technical personnel,or production personnel working in agricul-ture,forestry,animal husbandry,fishery and water conservancy,or who had basic medical insurance for urban workers,or who had per capita monthly income of 2000 and 4000 yuan,or smoking or duration of diabetes for 10 to 20 years were more prone to have depression symptoms.Patients with good quality of life(DSQL,OR=0.832)and higher social support(SSRS,OR=0.848)were not prone to have depressive symptoms.Conclusion The community groups of different social classes with high prevalence and low income and high income are more likely to have depressive disorder.The prevention and treatment should follow the bio-psychological-social medicine model,identify the negative risks affecting the living quality of diabetes patients,and integrate the monitoring,diagnosis and treatment,psychological guidance and social support throughout the whole process of active health management for type 2 diabetes patients.
NETL
NSTL
万方数据
