Tip 2 diyabet hastalar?nda anksiyete ve depresyon riski ve ili?kili fakt?rler

摘要

Ama?: ?al??mam?zda dünyada ve ülkemizde ?nemli bir halk sa?l??? sorunu olan, ve prevalans? giderek artan tip 2 diyabetli hastalar?n anksiyete ve depresyon risklerini belirlemeyi ve bu risklerle ili?kili durumlar? tespit etmeyi ama?lad?k. Gere? ve Y?ntem: Kesitsel tipteki bu analitik ara?t?rma ?? Hastal?klar? Poliklini?ine ba?vuran, tip 2 diyabet tan?l? 636 hastada ger?ekle?tirildi. Sosyodemografik veriler i?in ara?t?rmac?lar taraf?ndan haz?rlanan anket formu kullan?ld?. Hastalar?n anksiyete ve depresyon risklerini belirlemek i?in Hastane Anksiyete ve Depresyon ?l?e?i (HAD?) kullan?ld?. Bulgular: ?al??maya kat?lanlar?n %59,9’u (n=381) kad?n, %40,1’i (n=255) erkek, tüm grubun ya? ortalamas? 59,98±11,66 y?l idi. Kat?lanlar?n %48,4’ünde (n=308) anksiyete riski, %67,3’ünde (n=428) ise depresyon riski bulunmakta idi. 60 ya? ve üstünde olanlarda, kad?nlarda, ilkokul ve alt? e?itimlilerde, ev han?m? veya emekli olanlarda, komorbid hastal??? bulunanlarda ve insülin tedavisi alanlarda anksiyete ve depresyon riski istatistiksel olarak anlaml? derecede daha yüksekti. Evli olanlarda ve sigara i?enlerde ise anlaml? derecede daha dü?üktü. Sonu?: ?al??mam?zda anksiyete ve depresyon riski Tip 2 diyabet hastalar?nda yüksek bulundu. Bu risk ya?, cinsiyet, medeni durum, e?itim, meslek, komorbidite ve diyabet tedavisi ile ili?kili bulundu. Anksiyete ve depresyon a??s?ndan yüksek riskli bulunan hastalar psikiyatri b?lümü ile birlikte ele al?narak tedavi edilmelidir.. Purpose: In our study, we aimed to determine the anxiety and depression risks of patients with type 2 diabetes who have an important public health problem in the world and in Turkey and to determine the conditions related to these risks. Materials and Methods: This cross-sectional analytical study was performed in 636 patients with type 2 diabetes who presented to the Internal Diseases Clinic. A questionnaire form prepared by the researchers was used for sociodemographic data. The Hospital Anxiety and Depression Scale (HADS) was used to determine the anxiety and depression risks of the patients. Results: 59.9% (n = 381) of the participants were female and 40.1% (n = 255) were male and the mean age of the whole group was 59.98 ± 11.66 years. The risk of anxiety was found in 48.4% (n = 308) of the participants and the risk of depression was found in 67.3% (n = 428). The risk of anxiety and depression was significantly higher in women aged 60 and over, in women, in primary and lower education, in housewives or retired, in patients with comorbid diseases and in those receiving insulin therapy. It was significantly lower in married and smokers. Conclusion: The risk of anxiety and depression was found to be high in patients with Type 2 diabetes. This risk was associated with age, sex, marital status, education, occupation, comorbidity and diabetes treatment. Patients with high risk for anxiety and depression should be treated with the psychiatry department.