非胰島素依賴型糖尿病門診病患憂鬱程度與血糖控制情形相關之研究

Association of Depression and Glycemic Control among Outpatients with Type 2 Diabetes

陳正誠(Kevin J. Chen)

指導教授 ： 黃松元

國立臺灣師範大學/教育學院/衛生教育學系/博士(2001年)

摘要

本研究之目的為了解非胰島素依賴型糖尿病患之基本資料變項、憂鬱程度與血糖控制情形，探討基本資料變項對憂鬱程度與血糖控制情形的影響，以及探討憂鬱程度與血糖控制情形的關係。
本研究立意選取台北市立中興醫院及台北市立慢性病防治院新陳代謝科門診之非胰島素依賴型糖尿病患276人為研究對象。由訪視員利用門診時間前往蒐集資料，包括基本資料變項及憂鬱程度，另請門診醫師登錄糖化血色素數值並填具有無併發症。
研究對象以女性、60歲以上、小學畢業、目前沒有工作、已婚及肥胖者居多。多數研究對象不吸菸、沒有喝過酒、沒有定期運動的習慣及具有正向飲食行為。其平均罹病年數7.53年，多數沒有併發症，半數之血親患有糖尿病。研究對象多數接受口服降血糖藥的治療，且按醫師指示吃藥，平均治療年數為6.84年。研究對象普遍有憂鬱的情形。半數以上的研究對象血糖控制情形屬不良程度。研究對象之憂鬱程度在性別、職業、婚姻、定期運動、飲食情形、併發症、運動控制，以及服藥情形等變項上有顯著的差異；血糖控制情形在併發症、注射胰島素以及中醫療法等變項上有顯著的差異。研究對象之憂鬱程度與血糖控制情形間無顯著的相關。

關鍵字

非胰島素依賴型糖尿病 ； 憂鬱程度 ； 血糖控制情形

並列摘要

The Objective of study was to access basic data, depression and glycemic control of outpatients with type 2 diabetes, to examine the influence of basic data on depression and glycemic control, and to measure the relationship between depression and glycemic control.
Two hospitals of outpatients with type 2 diabetes were selected by purposive sampling. Totally 276 subjects were interviewed. Basic data and depression defined by CES-D were assessed by questionnaire. Complications and glycemic control measured using GHb were recorded by doctor.
The majority of the subjects were female, over 60 years old, elementary education, workless, married, and fat. Most subjects did not smoke, never drink, had no habitual exercise, and possessed good diet. The mean duration of diabetes was 7.53 years. Most subjects had not complications. Half of their relative had got diabetes. Many subjects reported taking oral hypoglycemic agents and taking compliance with medication. The average duration of medication was 6.84 years. Depression was common among subjects. Over half of subjects were poor glycemic control. Sex, occupation, marriage, exercise, diet, complication, physical activity control, and compliance were significant on depression. Complication, insulin using, and Chinese medication were significant on glycemic control. There was no significant relationship between depression and glycemic control.

並列關鍵字

Type 2 Diabetes ； Depression ； Glycemic Control

參考文獻

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