中国文化背景下糖尿病合并抑郁患者躯体症状归因及特点分析.pdf

特别策划·抑郁症护理管理 Special Planning 中国文化背景下糖尿病合并抑郁患者躯体 症状归因及特点分析 李明子 纪立农 [摘 要]  目的：调查分析中国文化背景下糖尿病合并抑郁患者躯体症状归因及特点。方法：方便取样选择住院2 型糖尿病患者137例，采用流调中心用抑郁量表（CES-D)筛查抑郁状态、躯体症状指数问卷（SSI)评估躯体症状、中 文版糖尿病烦恼量表（DDS）评估糖尿病相关的不良情绪，并行单因素相关分析和多元线性回归分析。结果：本组患者 24.8%处于抑郁状态，抑郁组DDS总分、SSI总分以及躯体症状数目均高于未合并抑郁者；SSI总分与文化程度呈负相 关（r=-0.216，P=0.011）、与是否合并并发症呈正相关（r=0.225，P=0.008）；与年龄（r=0.191，P=0.025）、并发症 数（r=0.335，P0.001）、CES-D总分（r=0.466，P0.001）、DDS总分（r=0.392，P0.001）呈正相关。多元线性回 归分析显示CES-D总分、DDS总分、并发症数共解释SSI总分39.1%的变异（P0.001）。结论：中国文化背景下糖尿 病合并抑郁患者具有更多的躯体症状，糖尿病躯体症状与抑郁的躯体化表现有重叠，主诉躯体症状多是识别抑郁的重要 线索。       [关键词]  糖尿病，2型；抑郁症；躯体症状               [中图分类号]  R47  [DOI]  10.3969/j.issn.1672-1756.2016.01.006 The characteristic of somatic symptoms of diabetic patients comorbided with depression under the background of Chinese culture / LI Mingzi, JI Linong // School of Nursing Peking University, Beijing, 100191 China /// Chinese Nursing Management- 2016,16(1): 18-22 [Abstract] Objectives: To analyse the characteristic of somatic symptoms of Chinese diabetic patients comorbided with depression. Method: Totally 137 T2DM inpatients were included. Centre for Epidemiological Studies Depression Scale (CES-D) was used to screening depression symptoms and SSI was used to assess the somatic symptoms with the Chinese version of DDS assessing diabetes related emotional distress. Results: The prevalence of depression was 24.8%. DDS score, SSI score and the number of somatic symptoms in depression group was significantly higher than non-depression group. SSI score was negatively related to education level (r= -0.216, P=0.011), positively related to comorbidity of complicaiton (r=0.225, P=0.008), positively related to age (r=0.191, P=0.025), positively related to the number of complications (r =0.335, P0.001), positively related to CES-