两种量表在老年2型糖尿病患者抑郁状态评估中的信效度比较

摘要

目的 对比老年抑郁量表(GDS)和汉密尔顿抑郁量表(HAMD)在用于老年糖尿病患者抑郁状态评估时的信度与效度,筛选适用于该人群的抑郁状态评分量表.方法 协助 88例老年糖尿病患者完成GDS-15和HAMD-17两种量表的评估.对评估结果进行信度、效度以及评估结果的一致性分析,采用Logistic多因素回归分析分别探讨两种抑郁量表中影响评估结果的风险因素.结果 GDS-15的Cronbach's α系数(0.715)高于HAMD-17(0.674).Logistic多因素回归分析结果显示,影响GDS-15评分的因素为患者并发症数目、用药依从性评分和糖化血红蛋白值(HbA1c),而影响HAMD-17量表评分的因素为患者用药依从性评分和睡眠质量评分.结论 GDS-15和HAMD-17两种量表均是用于老年糖尿病患者抑郁状态评估的有效工具,但GDS-15量表的条目更简洁客观,内部一致性信效度更高,在临床上更适用于老年糖尿病患者.%Objective In this study, the reliability and validity of Geriatric Depression Scale (GDS) and Hamilton Depression Scale (HAMD) in elderly diabetes are compared, aiming to explore a suitable scale for depression evaluation in elderly diabetes. Methods A total of 88 elderly patients with diabetes were selected and assisted to complete GDS-15 and HAMD-17. The evaluation results were analyzed in reliability, validity and the consistency of the evaluation result. Logistic multiple factor regression analysis was used to study the risk factors influencing the results of the two scales. Results The coefficient of Cronbach's α of GDS-15(0.715) was higher than that of HAMD-17(0.674). Logistic multiple factor regression analysis showed that the influencing factors of GDS-15 are the numbers of complications, medication adherence scores and HbA1c, while the influencing factors of HAMD-17 were medication adherence scores and sleep quality scores. Conclusions Both GDS-15 and HAMD-17 are effective tools in depression evaluation in elderly patients with diabetes. However, the items of GDS-15 are more concise and objective, and the internal consistency and validity are higher. GDS-15 is more suitable for the depression evaluation in elderly patients with diabetes in clinical practice.