■本研究旨在测量伊朗2型糖尿病(T2DM)患者的抑郁素养(D-Lit)和心理健康素养(MHL),并探讨其与心理状态和生活质量的关系。
■这项横断面研究于2021年在伊朗的400名T2DM患者中进行。使用比例分层抽样选择样品。数据收集工具包括人口调查问卷,MHL和D-Lit的措施,糖尿病生活质量(DQOL)量表,DASS-21在使用Kolmogorov-Smirnov检验确认数据的正态后,参数统计检验(如单向方差分析,独立样本t检验,和卡方)使用SPSSv22软件调查变量之间的关系。连续定量数据的结果以平均值和标准偏差的形式报告,定性数据以绝对频率和相对频率的形式报告。
■在这项研究中,10.25%的参与者(n=41)患有严重的抑郁症,36.75%(n=147)经历了严重的焦虑。MHL的平均值(标准偏差)为130点的80.92(9.16)。在参与者中,只有1.7%(n=7)在D-lit量表上没有正确回答任何问题,只有5.8%(n=23)能够在D-lit上正确回答15个问题或更多。MHL与抑郁症呈显著负相关(r=-0.236),焦虑(r=-0.243),和应力(r=-0.155)(P<0.001)。MHL与D-Lit呈正相关(r=0.186)(P<0.001)。D-Lit与抑郁呈显著负相关(r=-0.192),焦虑(r=-0.238),和应力(r=-0.156)(P<0.001)。识别疾病的能力之间存在正相关和显着相关(r=0.163),自我治疗知识(r=0.154),和DQOL(P<0.001)。抑郁(r=-0.251),焦虑(r=-0.257),应激(r=-0.203)与DQOL呈显著负相关(P<0.001)。
■发现2型糖尿病患者的MHL和D-Lit水平不足。这些低水平的MHL和D-Lit在T2DM患者中与较高水平的焦虑相关。抑郁症,和压力,以及较低的生活质量。因此,设计和实施预防方案以改善2型糖尿病患者的精神健康,有助于预防精神障碍,并最终改善其生活质量。
UNASSIGNED: This study was conducted to measure depression literacy (D-Lit) and mental health literacy (MHL) and to investigate their relationship with psychological status and quality of life among Iranian patients with type 2 diabetes mellitus (T2DM).
UNASSIGNED: This cross-sectional study was conducted in 2021 among 400 patients with T2DM in Iran. Samples were selected using proportional stratified sampling. Data collection tools comprised a demographic questionnaire, measures of MHL and D-Lit, the diabetes quality of life (DQOL) scale, and the DASS-21. After confirming the normality of the data using the Kolmogorov-Smirnov test, parametric statistical tests (such as one-way ANOVA, independent samples t-test, and Chi-Square) were used to investigate the relationship between the variables using SPSS v22 software. The results of continuous quantitative data are reported in the form of means and standard deviations, and qualitative data are reported in the form of absolute and relative frequencies.
UNASSIGNED: In this study, 10.25% of the participants (n = 41) had severe depression, while 36.75% (n = 147) experienced severe anxiety. The mean (standard deviation) of MHL was 80.92 (9.16) from 130 points. Of the participants, only 1.7% (n = 7) did not answer any questions correctly on the D-lit scale, and only 5.8% (n = 23) were able to answer 15 questions or more correctly on the D-lit. MHL had a significant negative correlation with depression (r = -0.236), anxiety (r = -0.243), and stress (r = -0.155) (P < 0.001). There was a positive and significant correlation between MHL and D-Lit (r = 0.186) (P < 0.001). D-Lit had a significant negative correlation with depression (r = -0.192), anxiety (r = -0.238), and stress (r = -0.156) (P < 0.001). There was a positive and significant correlation between the ability to recognize disorders (r = 0.163), knowledge of self-treatment (r = 0.154), and DQOL (P < 0.001). Depression (r = -0.251), anxiety (r = -0.257), and stress (r = -0.203) had a significant negative correlation with DQOL (P < 0.001).
UNASSIGNED: MHL and D-Lit levels were found to be inadequate in patients with T2DM. These low levels of MHL and D-Lit among patients with T2DM were associated with higher levels of anxiety, depression, and stress, as well as a lower quality of life. Therefore, designing and implementing preventive programs to improve the mental health of patients with T2DM can help prevent mental disorders and ultimately improve their quality of life.