摘   要：目的  評(píng)估糖尿病痛性周圍神經(jīng)病變患者情緒狀態(tài)并進(jìn)行調(diào)查分析，為臨床更好的改善患者心理健康狀態(tài)。方法  選取2010年6月～2017年11月于我院就診住院的2型糖尿病痛性周圍神經(jīng)病變患者158例，采用焦慮自評(píng)量表（SAS）、抑郁自評(píng)量表（SDS）、生活質(zhì)量評(píng)價(jià)表（SF-36）對(duì)患者進(jìn)行情緒調(diào)查。結(jié)果  糖尿病痛性周圍神經(jīng)病變患者SDS評(píng)分為（53.55±7.31）分，SAS評(píng)分為（58.47±10.52）分，SF-36評(píng)分為（77.94±10.32）分。高年齡組SAS、SDS、SF-36評(píng)分明顯低于年齡≤40歲組，男性組的SAS、SDS、SF-36評(píng)分要顯著低于女性組的評(píng)分，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。低學(xué)歷者的SAS、SDS評(píng)分較本科及以上學(xué)歷的評(píng)分更高，低學(xué)歷者的SF-36評(píng)分更低，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。干部的SAS和SDS評(píng)分較其他行業(yè)從業(yè)者更低，但是SF-36P評(píng)分更高，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。糖尿病病程≤5年組SAS、SDS、SF-36評(píng)分相對(duì) 5～15年和≥15年組更高，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。已婚組SAS和SDS評(píng)分顯著低于其它婚姻狀況組的評(píng)分，已婚組SF-36高于未婚組、離異組、喪偶組的評(píng)分，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。相對(duì)農(nóng)醫(yī)保組，城市醫(yī)保組的SAS和SDS評(píng)分顯著下降，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05），而SF-36高于農(nóng)醫(yī)保組。合并多種慢性并發(fā)癥組的SAS、SDS評(píng)分顯著高于單純合并糖尿病痛性周圍神經(jīng)病變組的評(píng)分，SF-36明顯低于單純合并糖尿病痛性周圍神經(jīng)病變組的評(píng)分，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論  糖尿病痛性周圍神經(jīng)病變患者在女性、低學(xué)歷、工作收入低、病程時(shí)間長(zhǎng)、婚姻不滿意、醫(yī)保報(bào)銷比例低、合并多種慢性并發(fā)癥的人群中，有更明顯的心理障礙，存在焦慮、抑郁情緒及生活質(zhì)量下降。
　　關(guān)鍵詞：糖尿病;痛性周圍神經(jīng)病變;焦慮;抑郁;生活質(zhì)量;調(diào)查
　　中圖分類號(hào)：R587.2                                  文獻(xiàn)標(biāo)識(shí)碼：A                                DOI：10.3969/j.issn.1006-1959.2018.05.005
　　文章編號(hào)：1006-1959（2018）05-0014-04
　　Investigation and Analysis of Mood in Patients with Diabetic Peripheral Neuropathy
　　XIE Yong-li，SU Xiao-qing，ZHANG Ya-wei
　�。―epartment of Endocrinology，Pingxiang People"s Hospital，Pingxiang 337055，Jiangxi，China）
　　Abstract：Objective  To evaluate the emotional status of diabetic patients with painful peripheral neuropathy and to improve their mental health status.Methods  From June 2010 to November 2017，158 patients with painful peripheral neuropathy of type 2 diabetes mellitus were investigated with self rating anxiety scale（SAS），self rating depression scale（SDS）and quality of Life evaluation form （SF-36）.Results  The SDS score of diabetic patients with painful peripheral neuropathy was（53.55±7.31）and the score of SAS was（58.47±10.52），the score of SF-36 was（77.94±10.32）.The score of SAS，SD，SF-36 in the older group was significantly lower than that in the age≤40 years group，and that in the male group was significantly lower than that in the female group，the difference was statistically significant（P<0.05）.The scores of SAS and SDS in the low degree students were higher than those in the undergraduate degree and above，and the SF-36 scores of the low degree students were lower，the difference was statistically significant（P<0.05）.The SAS and SDS scores of the cadres were lower than those of the other professions，but the SF-36P scores were higher，the difference was statistically significant（P<0.05），and the score of SAS，SDS，SDSF-36 was higher in the group of diabetes duration≤5 years than that in the group of 5～15 years and≥15 years，and the difference was statistically significant（P<0.05）.The scores of SAS and SDS in married group were significantly lower than those in other marital status groups.The scores of SF-36 in married group were significantly higher than those in unmarried group，divorced group and widowed group，the difference was statistically significant（P<0.05）.Compared with the rural health insurance group，the SAS and SDS scores in urban health insurance group decreased significantly，the difference was statistically significant（P<0.05），and the SF-36 was higher than that in the rural health insurance group.The scores of SAS，SDS in the group with multiple chronic complications were significantly higher than those in the group with simple diabetic pain peripheral neuropathy and the score of SF-36 was significantly lower than that in the group of simple diabetic peripheral neuropathy，the difference was statistically significant（P<0.05）.Conclusion  Diabetic patients with painful peripheral neuropathy have more obvious psychological disorders in women with low educational background，low working income，long course of disease，unsatisfactory marriage， low reimbursement rate of medical insurance，and many kinds of chronic complications，anxiety，depression and quality of life declined.

相關(guān)熱詞搜索：糖尿 周圍神經(jīng) 病變 病痛 患者