2 型糖尿病患者的精神并发症。

Q4 Medicine
Kathmandu University Medical Journal Pub Date : 2024-04-01
M Acharya, R H Ghimire, D Karki, S Poudel
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引用次数: 0

摘要

背景 精神疾病与糖尿病并存的情况屡见不鲜。这种并发症有多种表现形式,会导致生活质量下降、医疗费用增加、治疗依从性降低、血糖控制不理想以及急诊就诊人数激增。目的 评估一家专科医疗中心的 2 型糖尿病患者中精神疾病合并症的患病率。方法 我们进行了一项横断面研究,招募了符合条件的 2 型糖尿病门诊患者。为了评估患者的认知和情绪方面的疾病,我们采用了迷你国际神经精神访谈和 ICD-10 指南。研究采用了方便抽样法,共纳入了 200 名患者。我们对他们的社会人口学特征、是否患有抑郁症以及其他精神疾病进行了研究。结果 在所有接受筛查的 2 型糖尿病患者中,有 200 名符合条件者被纳入研究。抑郁症是最常见的精神并发症,占患者总数的 30.5%。值得注意的是,女性患者和 50 岁以上的患者患抑郁症的比例略高。此外,糖尿病病程较长的患者抑郁发作率较高,其次是其他精神疾病。结论 值得注意的是,一部分糖尿病患者合并有精神疾病。抑郁症在糖尿病患者中最为常见,其次是其他精神疾病。糖尿病患者中出现神经精神疾病的年龄普遍较晚,在第 6 个 10 年后达到高峰。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychiatric Comorbidity among Type 2 Diabetes Mellitus Patients.

Background The co-occurrence of psychiatric conditions and diabetes mellitus is frequently observed. This coexistence manifests in various ways, leading to a diminished quality of life, heightened healthcare expenses, reduced treatment compliance, suboptimal blood sugar control, and an upsurge in visits to the emergency room. Objective To evaluate the prevalence of psychiatric comorbidity in patients with type 2 diabetes at a specialized medical center. Method We conducted a cross-sectional study, enrolling eligible type 2 diabetes patients who sought outpatient services. To evaluate the cognitive and emotional aspects of their illness, we employed the Mini International Neuropsychiatric Interview and ICD-10 guidelines. Convenience sampling method was used and 200 patients were included in the study. Their socio-demographic profile, presence of depression, and other psychiatric illnesses were studied. Result Among the total screened type 2 diabetes patients, 200 eligible individuals were included in the study. Depression emerged as the most prevalent psychiatric comorbid condition, affecting 30.5% of the patients. Notably, depression rates were slightly higher in female patients and those over 50 years of age. Furthermore, individuals with longer diabetes durations displayed a greater prevalence of depressive episodes, followed by other psychiatric illnesses. Conclusion A noteworthy proportion of diabetic patients exhibited comorbid psychiatric conditions. Depression was the most common among diabetics followed by other psychiatric illnesses. The presence of neuropsychiatric illness was commonly seen in diabetics at a later age of life, peaking after 6th decade.

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来源期刊
Kathmandu University Medical Journal
Kathmandu University Medical Journal Medicine-Medicine (all)
CiteScore
0.70
自引率
0.00%
发文量
51
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