Tip 2 diyabet hastalarında anksiyete ve depresyon riski ve ilişkili faktörler

Amaç: Çalışmamızda dünyada ve ülkemizde önemli bir halk sağlığı sorunu olan, ve prevalansı giderek artan tip 2 diyabetli hastaların anksiyete ve depresyon risklerini belirlemeyi ve bu risklerle ilişkili durumları tespit etmeyi amaçladık.Gereç ve Yöntem: Kesitsel tipteki bu analitik araştırma İç Hastalıkları Polikliniğine başvuran, tip 2 diyabet tanılı 636 hastada gerçekleştirildi. Sosyodemografik veriler için araştırmacılar tarafından hazırlanan anket formu kullanıldı. Hastaların anksiyete ve depresyon risklerini belirlemek için Hastane Anksiyete ve Depresyon Ölçeği (HADÖ) kullanıldı.Bulgular: Çalışmaya katılanların %59,9’u (n=381) kadın, %40,1’i (n=255) erkek, tüm grubun yaş ortalaması 59,98±11,66 yıl idi. Katılanların %48,4’ünde (n=308) anksiyete riski, %67,3’ünde (n=428) ise depresyon riski bulunmakta idi. 60 yaş ve üstünde olanlarda, kadınlarda, ilkokul ve altı eğitimlilerde, ev hanımı veya emekli olanlarda, komorbid hastalığı bulunanlarda ve insülin tedavisi alanlarda anksiyete ve depresyon riski istatistiksel olarak anlamlı derecede daha yüksekti. Evli olanlarda ve sigara içenlerde ise anlamlı derecede daha düşüktü.Sonuç: Çalışmamızda anksiyete ve depresyon riski Tip 2 diyabet hastalarında yüksek bulundu. Bu risk yaş, cinsiyet, medeni durum, eğitim, meslek, komorbidite ve diyabet tedavisi ile ilişkili bulundu. Anksiyete ve depresyon açısından yüksek riskli bulunan hastalar psikiyatri bölümü ile birlikte ele alınarak tedavi edilmelidir..
Anahtar Kelimeler:

Tip 2 diyabet, anksiyete, depresyon

Risk of anxiety and depression in patients with type 2 diabetes and related factors

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.

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