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目的探讨老年糖尿病患者负性情绪发生情况及其影响因素。方法选取四川大学华西广安医院2014年3月—2015年12月收治的100例合并负性情绪的老年糖尿病患者,将其作为观察组,选取同期100例无负性情绪的老年糖尿病患者100例作为对照组。采用焦虑抑郁量表(HADS)对患者焦虑抑郁程度进行判定,了解患者负性情绪发生情况并分析其影响因素。结果两组患者年龄、性别、文化程度比较,差异无统计学意义(P>0.05)。心理状况、生理情况、睡眠质量、身体抵抗力比较,差异有统计学意义(P<0.05)。以负性情绪为自变量,心理因素(良好=0,不良=1)、环境因素(无=0,有=1)、生理因素(无=0,有=1)、睡眠质量(良好=0,不良=1)为因变量,进行多因素Logistic回归分析,结果显示,心理因素、环境因素是负性情绪的保护因素,生理因素、睡眠质量是负性情绪的危险因素(P<0.05)。结论心理因素、环境因素是老年糖尿病患者负性情绪的保护因素,生理因素、睡眠质量是负性情绪的危险因素,开展对症干预措施,可不断强化患者依从性,鼓励家属参与,以全面提高患者生活质量。
Objective To explore the incidence of negative emotions in elderly patients with diabetes mellitus and its influencing factors. Methods 100 elderly patients with senile diabetes mellitus combined with negative emotions who were treated in Huaxi Guang’an Hospital of Sichuan University from March 2014 to December 2015 were selected as the observation group and 100 elderly patients with diabetes without negative emotions during the same period Control group. An anxiety and depression scale (HADS) was used to determine the extent of anxiety and depression in patients, and to understand the patients’ negative emotion and to analyze the influencing factors. Results There was no significant difference in age, sex and education between the two groups (P> 0.05). Psychological status, physical condition, sleep quality, body resistance, the difference was statistically significant (P <0.05). Negative emotion as independent variable, psychological factors (good = 0, poor = 1), environmental factors (no = 0, with = 1), physiological factors Multivariate logistic regression analysis showed that psychological factors and environmental factors were the protective factors of negative emotions. Physiological factors and sleep quality were the risk factors of negative emotions (P <0.05). Conclusion Psychological factors and environmental factors are the protective factors of negative emotions in elderly diabetic patients. Physiological factors and sleep quality are the risk factors of negative emotions. To carry out symptomatic interventions, patients’ compliance can be strengthened and family members can be encouraged to participate in the overall improvement Quality of Life.