在坎帕拉国际大学教学医院糖尿病门诊就诊的成年糖尿病患者中的抑郁症患病率及相关因素

Emmanuel Gutaka l, Martin Odoki, Isaac Edyedu, Rogers Muland, E. I. Obeagu
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引用次数: 0

摘要

糖尿病和抑郁症经常并发,但只有约三分之二的这两种疾病的患者得到承认和治疗。本研究旨在确定在坎帕拉国际大学教学医院糖尿病门诊就诊的成年糖尿病患者中抑郁症的患病率及相关因素。在坎帕拉国际大学教学医院糖尿病门诊就诊的糖尿病患者中,抑郁症的患病率为 26.6%。在坎帕拉国际大学教学医院糖尿病诊所就诊的糖尿病患者中,性别、年龄段、居住地区、受教育程度和婚姻状况与抑郁症在统计学上有显著相关。女性患抑郁症的几率是男性的三倍(OR=3.29:95%CI,0.84-6.58:P=0.052)。与 18-30 岁年龄段的患者相比,31-39 岁年龄段的患者患抑郁症的几率要高出 5 倍(OR=5.73:95%CI,2.31- 28.4:P=<0.001)。与居住在农村地区的患者相比,居住在城市地区的患者患抑郁症的几率要高 5 倍(OR=2.61:95%CI,0.77-8.85:P=0.04)。与单身患者相比,丧偶患者患抑郁症的几率要高 5 倍(OR=5.09:95%CI,0.87-12.30:P=<0.001)。与受过中等教育的患者相比,受过初等教育的患者患抑郁症的几率要高出 6 倍(OR=6.98:95%CI,2.01-14.37:P=0.001)。抑郁症在糖尿病患者中的发病率较高,且与低教育水平、糖尿病患病时间、血糖水平控制良好、糖尿病以外的慢性疾病、慢性疾病数量、糖尿病药物治疗方式、糖尿病强化治疗史和抑郁症家族史有关。关键词患病率、抑郁症、相关因素、糖尿病
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Prevalence of Depression and Associated Factors among Adult Patients with Diabetes Mellitus Attending Diabetic Clinic at Kampala International University Teaching Hospital
Diabetes and depression regularly co-occur, but only about two-thirds of patients with both diseases receive recognition and treatment for it. The purpose of this study was to determine the prevalence of depression and associated factors among adult patients with diabetes attending diabetic clinic at Kampala International University Teaching Hospital. The prevalence of depression among diabetes mellitus patients attending diabetic clinic at Kampala International University Teaching Hospital. was found to be 26.6%. Gender, age bracket, area of Residence, level of education and marital status were statistically significantly associated with depression among diabetes mellitus patients attending diabetic Clinic at Kampala International University Teaching Hospital. in the model at 5% level. Females were 3times more likely to develop depression compared to the males (OR=3.29: 95%CI, 0.84–6.58: P=0.052). Patients in the age bracket 31-39 years were 5times more likely to develop depression compared to those in age bracket 18-30 years (OR=5.73: 95%CI, 2.31- 28.4: P=<0.001). Patients who lived in urban areas were 5times more likely to develop depression compared to those who lived in rural areas (OR=2.61: 95%CI, 0.77–8.85: P=0.04). Patients who were widows were 5times more likely to develop depression compared to those who were single (OR=5.09: 95%CI, 0.87–12.30: P=<0.001). Patients with primary levels of education were 6times more likely to develop depression compared to those who attained secondary level of education (OR=6.98: 95%CI, 2.01–14.37: P=0.001). The prevalence of depressive illness in patients with DM is high and is associated with low education level, period with diabetes, Sugar levels well controlled, chronic illness other than diabetes, number of chronic illness and mode of medication for diabetes history of being in the intensive phase of DM treatment and family history of depressive illness. Keywords: Prevalence, depression, associated factors, diabetes mellitus
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