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糖尿病前期人群焦虑情绪对疾病早期发现和生活质量影响研究 预览 被引量:17

Effect of Anxiecty on Early Detection of Disease and Quality of Life in Prediabetic Population
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摘要 目的调查糖尿病前期人群焦虑情绪现状,分析焦虑情绪与糖尿病前期早期发现及诊断后生活质量的关系。方法 148例糖尿病前期患者自愿参与研究,采用Zung编制的焦虑自评量表(SAS)对此人群进行焦虑情绪调查,进而分析其生活质量,并取其静脉血进糖化血红蛋白(HbA1c)测定,6个月后复测。结果糖尿病前期患者与中国常模相比存在明显的焦虑情绪,差异有统计学意义[(55±11)分vs.(31±13)分,P〈0.01],焦虑得分和基线及其后6个月的HbA1c水平呈负相关(P〈0.05);与生活质量四个维度负相关(P〈0.05);和BMI(体质指数)之间没有相关性(P〉0.05)。结论焦虑情绪对疾病的早期发现有利,但对于诊断后的生活质量调控不利。我们应早期评估该人群的焦虑情绪,为疾病的早期发现提供依据,并对此采取适当的干预措施,以提升患者的生活质量。 Objective To study the anxious status of pre - diebetie population, and analyze the association of anxiety with early detection of disease and quality of life in pre -diabeties. Methods A total of 148 patients with pre -diabetes were recruited. The self - rating anxiety scale (SAS) designed by Zung was used to investigate the subjects' anxiety and quality of life. The levels of glycosylated hemoglobin ( HbAIo ) at initial diagnosis (baseline) and 6 - month later. Results The patients with pre -diabetes had a higher score of anxiety than the norm of Chinese [ (55 ± 11 ) vs. (33 ±13),P〈0.01 ]. The anxiety 8core was inversely associated with HbAIc at both baseline and 6 - month later ( P 〈 0. 05 ), and the scores in four dimensions of quality of life ( P 〈 0. 05 ) ; but it was not correlated with body mass index ( P 〉 0. 05 ) . Conclusion Anxiety may facilitate early detection of disease. However, it is harmful to adjustment of quality of life after diagnosis. So anxiety of pre - diabetics should be assessed as early as possible to provide an evidence for an early detection of the disease and to take an appropriate intervention so that the patients' quality of life can be improved.
作者 庄前玲 郭桂芳 刘宇 陆锦华 杜建刚 ZHUANG Qian - ling, GUO Gui-ring, LIU Yu, et al.( Suzhou Health College, Suzhou 215009, China)
出处 《中国全科医学》 CAS CSCD 北大核心 2012年第4期 428-429,433,共3页 Chinese General Practice
关键词 糖尿病前期 焦虑 疾病发现 生活质量 Pie-diabetes Anxious temperament Disease detection Quality of life
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