摘要目的 调查2型糖尿病患者一级亲属的焦虑与抑郁发生率并探讨其影响因素.方法 采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和自行设计的生活满意度评分表及心理影响因素调查表对2010年5月至7月在解放军第三○六医院门诊就诊或住院的102例糖尿病患者及其一级亲属进行心理状况调杳,同时对糖尿病患者的病史进行采集.比较不同心理状态家属之间调查指标及其糖尿病患者病情等的差异,分析心理障碍发生的影响因素.计量资料的比较采用t检验,用(x)±s表示,率的比较采用χ2检验,相关采用Pearson相关,以P＜0.05为差异有统计学意义.结果 糖尿病患者一级亲属焦虑发生率为31.4%,抑郁发生率为17.6%.有心理障碍的家属生活满意度较无心理障碍的家属显著降低(t=4.26和4.09,P＜0.05).糖尿病患者的空腹血糖在家属焦虑组和家属抑郁组中显著增高(t=-2.48和-2.15,P＜0.05).糖尿病患者家属心理障碍的发生与治疗费用高、治疗方法复杂等因素有关.结论 糖尿病患者一级亲属心理障碍发生率高,生活满意度低.积极治疗患者疾病,简化治疗方法,尽可能减少治疗费用,帮助排除相关影响因素,可能有助于改善糖尿病患者家属的心理状况,提高其生活满意度.

abstractsObjective To investigate the incidence and the risk factors of anxiety or depression and in the first degree relatives (FDRs) of patients with type 2 diabetes mellitus ( T2DM ). Methods A total of 102 T2DM patients who visited our hospital from May to July 2010 and their FDRs completed SAS,SDS,and life satisfaction evaluation. The medical history of T2DM patients was collected and compared with their FDRs with or without mental disorders. The correlations of risk factors with anxiety or depression were analyzed, t test or X2 test were used for statistical analysis and a P value less than 0. 05 was considered statistically significant. Results The incidence of anxiety or depression of FDRs was 31.4% and 17.6%,respectively. The life satisfaction score of FDRs with mental disorders was significantly decreased ( t = 4. 26 and 4. 09, P＜0. 05 ). Fasting glucose level of T2DM patients with anxious or depressive FDRs was significantly increased ( t = -2. 48 and -2. 15, P＜0. 05 ). Higher medical cost and multiple treatment strategies were positively correlated with SAS and SDS score of the FDRs. Conclusion Higher incidence of mental disorders and lower satisfaction scores could be found in the FDRs of T2DM patients. Better control of blood glucose and reduced treatment cost and strategies may be useful in improving metal condition and life satisfaction of the FDRs of T2DM patients.