糖尿病患者COVID-19感染后的心理状态变化及其影响因素

Changes in Psychological Status of Diabetic Patients after COVID-19 Infection and Its Influencing Factors

摘要: 糖尿病与许多神经精神疾病有关，尤其是焦虑、抑郁。众所周知，糖尿病患者的抑郁症发生率是普通人群的2~3倍。糖尿病症状、并发症、疾病负担加重、自我护理不足、残疾和生活质量下降在共病抑郁和/或焦虑患者中更常见。压力是糖尿病患者的主要危险因素，它使血糖控制恶化，从而导致更多的症状和并发症。全球COVID-19爆发对大多数人来说都是一次压力很大的经历，糖尿病患者特别容易受到COVID-19不良后果的影响。研究表明，COVID-19大流行对糖尿病等慢性病患者的心理影响大于非慢性病患者。COVID-19后糖尿病患者心理状况会产生变化，糖尿病患者COVID-19感染后的心理状态的变化及其影响因素极其复杂，本文旨在分析糖尿病患者COVID-19感染后心理状态的变化及其影响因素，并对糖尿病患者存在焦虑抑郁患者的心理干预及整体治疗提供指导。

Abstract: Diabetes is associated with many neuropsychiatric disorders, especially anxiety and depression. Depression is known to be 2~3 times more common in people with diabetes than in the general population. Diabetic symptoms, complications, increased disease burden, inadequate self-care, disability, and decreased quality of life are more common in patients with co-morbid depression and/or anxiety. Stress is a major risk factor for people with diabetes and worsens glycaemic control, leading to more symptoms and complications. A global COVID-19 outbreak is a stressful experience for most people, and people with diabetes are particularly vulnerable to the adverse consequences of COVID-19. Studies have shown that the psychological impact of the COVID-19 pandemic on patients with chronic diseases such as diabetes mellitus is greater than that of patients with non-chronic diseases. Changes in the psychological status of diabetic patients occur after COVID-19. Changes in the psychological state of diabetic patients after COVID-19 infection and the factors influencing them and their complexity are discussed in this paper. The purpose of this paper is to analyse the changes in the psychological state of diabetic patients after COVID-19 infection and its influencing factors, and to provide guidance for psychological intervention and overall treatment of diabetic patients with anxiety and depression