Dissertation > Excellent graduate degree dissertation topics show

The Analysis of Related Factors in Type 2 Diabetes with Depression

Author: YangFei
Tutor: ZhangPing
School: Dalian Medical University
Course: Internal Medicine
Keywords: Depression Type 2 diabetes Related factors
CLC: R587.1
Type: Master's thesis
Year: 2011
Downloads: 15
Quote: 0
Read: Download Dissertation


Objective: To analyze the related factors in type 2 diabetes patients with depression. It will provide basis for clinical treatment, control disease effectively, and improve the prognosis and the quality of life.Methods: 447 hospitalized patients of type 2 diabetes were selected as the research object. Questionnaire survey was adopted. The survey items include gender, age, diagnosis age, education, occupation, marital status, and duration of diabetes, family history, monthly income, treatment, medical forms, blood glucose monitoring situation, diet and exercise control, hypertension and diabetic complications. At the same time we measured height, weight, waist, hip circumference, waist-hip ratio, glycated hemoglobin (HbA1c), fasting plasma glucose (FPG) and 2-hr plasma glucose (2hPG). The patients filled personally depression self rating scale (SDS). The scale includes 20 entries, divides into four grade ratings, and the total score is 80 cent. Depression severity index is total score divided by 80, and depression is defined when the depression severity index≥0.50.Results:1.The prevalence of depression in type 2 diabetes patients was significantly higher than the general population(48.3%), and it was higher in female, high cultural degree, low income level and white-collar worker. The differences was statistically significant, P < 0.05.2.Compared with the non-depression group, the hypertension rates of the depression group was higher (62.5% vs 39.0 %), the age was older, the course of disease was longer, and the BMI, HbA1c, FPG, 2hPG was higher (P < 0.05). The blood glucose monitoring proportion, diet control proportion, motion control proportion of depression group were significantly lower than the non-depression group.3.The prevalence of depression was different under different treatments. The result was oral medicine and insulin group (57.0%) > insulin group (42.1%) > oral medicine group (29.7%).4.Depression group had a high incidence of diabetic peripheral neuropathy and macroangiopathy, compared with the non-depression group, and the difference was statistically significant (P < 0.05). As well, depression group had a high incidence of diabetic retinopathy and diabetic nephropathy, but the difference was no statistically significant (P > 0.05).5.Along with the increasing of HbA1c, the prevalence of depression in patients with type 2 diabetes was heightened subsequently.6.Logistic regression showed that BMI, HbA1c were the independent risk factors of depression.Conclusion:1.The prevalence of depression in type 2 diabetes patients was significantly higher than the general population, and it was higher in population of female, high cultural degree, low income level, white-collar worker, treated by oral medicine and insulin.2.BMI, HbA1c were the independent risk factors of depression. We can reduce the prevalence of depression in type 2 diabetes through controlling the body mass index and glycated hemoglobin, thereby reduce the incidence of diabetic complications and improve the quality of life.

Related Dissertations

  1. Effects of acupuncture on stroke recovery associated with depression and physical disabilities,R246.6
  2. Thinking of the Valley Shizhe academic and clinical experience and Treating depression,R249.2
  3. The Expression of TH、 c-fos and Its Transcriptional Regulation in Locus Coeruleus and Adrenal Medulla on an Experimental Rat Model of Liver Depression Syndrome,R241
  4. Professor Liu Yanchi academic thought and clinical experience and clinical studies for treatment of diabetes,R249
  5. The Effect and Pharmacological Analysis of Houttuynia Cordata Thunb (HCT) on Diabetes Mellitus,R285.5
  6. Effects of the Therapeutic Communication System Intervention on the Postoperative Gynecological Malignant Tumor Patients with Depression,R473.73
  7. Relationship between Level of Serum Uric Acid and Lower Extremity Arterial Disease in Patients with Type 2 Diabetes Mellitus,R587.1
  8. Improvement of Interleukin Profiles in Patients with Type 2 Diabetes Mellitus After Add-on Acarbose Therapy Independent of Glycemic Control,R587.1
  9. Efficacy and Safety of Biphasic Insulin Aspart 30 Once-daily Treatment in Patients with Type 2 Diabetes,R587.1
  10. The Blood Glucose Control and Influencing Factors in Type 2 Diabetic Patients with Oral Hypoglycemic Agents,R587.1
  11. Study on Clinical Manifestations of First-onset Elderly Depression,R749.4
  12. The Research on a Predictive Model of Depression among College Students,B842.6
  13. Recurrent Ovarian Cancer Surgery Again with Surial Analysis of Relevant Factors,R737.31
  14. Study on Type 2 Diabetes Associated with the Northwest Dryness Syndrome and Intervention Therapy,R259
  15. Clinical Observation of Ditan Soup in Treating PSD,R277.7
  16. Carotid Artery Wall Elasticity and Carotid Atherosclerosis in Diabetes Mellitus Patients with Microalbuminuria Using Ultrasonographic Elastography and High-freguency Ultrasound,R445.1
  17. Association of Genetic Variation of UTS2 Gene with Type2 Diabetes Mellitus and Hypertension,R587.1
  18. Risk Factors of Early Onset Type 2 Diabetes with Non-alcoholic Fatty Liver Disease,R587.1
  19. Effect of Gastric Bypass on the Blood Glucose Level in Type 2 Diabetes Rat Model,R587.1
  20. The Related Risk Factors of Anomaly of Albumin to Creatinine Ratio in Early-onset Type 2 Diabetes,R587.1

CLC: > Medicine, health > Internal Medicine > Endocrine diseases and metabolic diseases > Islet disease > Diabetes
© 2012 www.DissertationTopic.Net  Mobile