在2型糖尿病患者中识别精神健康障碍:一项通用诊所的横截面研究
Line T Jakobsen1, Anne Søjbjerg2,3, Stinne E Rasmussen2,3
1Research Unit for General Practice, Aarhus University, Aarhus, Denmark line.th.jakobsen@gmail.com.
相当数量的2型糖尿病患者经历了心理健康问题. 世界卫生组织五项福利指数 (WHO-5) 对于在一般实践中识别这些问题,比单项问题更有效.
科学领域:
- 一般实践 一般实践
- 糖尿病 护理 糖尿病 护理
- 心理健康评估 心理健康评估
背景情况:
- 二型糖尿病 (T2D) 经常与精神健康受损有关.
- 国际指南建议将心理护理纳入糖尿病管理.
- 目前,一般实践缺乏一种系统的方法来评估T2D患者的心理健康.
研究的目的:
- 评估T2D患者在一般诊所的心理健康状况.
- 将单项健康问题的有效性与世界卫生组织五项健康指数 (WHO-5) 进行比较,以识别心理健康问题.
主要方法:
- 一项涉及丹麦通用诊所2型糖尿病患者230人的横截面研究.
- 通过单项健康问题和验证仪器收集的数据:WHO-5,PHQ-9 (抑郁症),GAD-7 (焦虑症) 和PAID-5 (糖尿病困扰).
- 招聘发生在每年慢性护理咨询期间.
主要成果:
- 32%的T2D患者报告了精神健康受损的症状.
- 世界卫生组织的第5项确定了53%的患有心理健康问题的患者,而单项问题只确定了12%.
- 通过WHO-5识别的患者在大多数措施中表现出明显较低的心理健康得分.
结论:
- 在一般实践中,T2D患者中精神健康问题很普遍.
- 一个单项问题不足以检测这一群体的心理健康问题.
- 世界卫生组织的WHO-5是一个更全面的工具,用于评估T2D护理中的福祉.
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