摘要
目的探讨上海市虹口区老年2型糖尿病(type 2 diabetes mellitus,T2DM)患者抑郁症状与自我效能的相关性。方法以上海市虹口区65岁及以上T2DM患者为研究对象,选用贝克抑郁自评量表(Beck depression inventory,BDI)评估患者抑郁症状,选用中文版糖尿病管理自我效能量表(diabetes management self-efficacy scale,DMSES)评估患者自我效能,根据中文版DMSES得分,将研究患者分为中低水平组(n=312)和高水平组(n=283)。采用倾向评分匹配(propensity score matching,PSM)平衡与自我效能相关的协变量,利用Logistic回归分析抑郁症状与自我效能的相关性。结果本次调查共纳入595名研究对象,有抑郁症状者82人(13.78%),自我效能评级为中低水平者312人(52.44%)。自我效能中低水平组和高水平组患者的年龄、家庭人均月收入、居住方式、是否规律锻炼、是否合并糖尿病并发症或其他慢性病、抑郁程度差异均具有统计学意义(P均<0.05)。PSM 1∶1匹配协变量后,两组患者的家庭人均月收入、居住方式以及是否规律锻炼差异仍均有统计学意义(P均<0.05)。Logistic回归分析显示,老年T2DM患者不规律运动、不与配偶居住、自我效能中低水平与抑郁症状有关(P<0.001)。结论上海市虹口区老年T2DM患者自我效能不高与抑郁症状风险增加有关。
Objective To explore the correlation between depressive symptoms and self-efficacy in elderly patients with type 2 diabetes mellitus(T2 DM)in Hongkou district,Shanghai.Methods Patients with T2 DM over 65 years old were selected as study objects in Hongkou district,Shanghai,depressive symptoms of these patients were assessed by the Beck depression inventory(BDI),and self-efficacy of these patients were assessed by the Chinese version of the diabetes management self-efficacy scale(DMSES).The patients were divided into low to moderate level group(n=312)and high level group(n=283)according to the Chinese version of the DMSES.The propensity score matching(PSM)was used to balance the covariates associated with self-efficacy and the association between depressive symptoms and self-efficacy was analyzed by Logistic regression.Results A total of 595 study objects were included in this survey,82 had depressive symptoms(13.78%),and 312 elderly T2 DM putrents(52.44%)rated low to moderate level of self-efficacy.The differences in age,per capita monthly household income,mode of residence,whether they exercised regularly,whether they had diabetes complications or other chronic diseases and the degree of depression between the low to moderate group and high self-efficacy group were all statistically significant(all P<0.05).After 1∶1 matching of PSM covariates,there were still statistically significant differences in family per capita monthly income,living style and regular exercise between the two groups(all P<0.05).Logistic regression analysis showed that elderly T2 DM patients with irregular exercise,not living with their spouse and low level of self-efficacy were associated with depressive symptoms(P<0.001).Conclusion Low self-efficacy is associated with an increased risk of depressive symptoms in elderly T2 DM patients in Hongkou district of Shanghai.
作者
秉岩
刘骥
刘丽娟
BING Yan;LIU Ji;LIU Lijuan(Department of Health Management,Faculty of Military Health Service,Naval Medical University,Shanghai 200433,China)
出处
《华南国防医学杂志》
CAS
2022年第11期892-895,900,共5页
Military Medical Journal of South China
基金
国家社科基金年度项目(14BGL142)。
