Nghiên cứu đặc điểm lâm sàng và bước đầu đánh giá việc tuân thủ điều trị của bệnh nhân đái tháo đường týp 2 có rối loạn trầm cảm

Abstract

Objective: To describe some clinical features and to initially assess the treatment adherence of type 2 diabetic patients with depressive disorder. Subject and method: A cross-sectional descriptive study on 46 patients with type 2 diabetes, identified as having a depressive disorder with a BECK score ≥ 14, being managed and treated at the Department of Medical Examination, 108 Military Central Hospital. Result: The average age of patients with type 2 diabetes with depression was 65.9 ± 8.7 years old, women suffered more than men. The first symptom of depression was often insomnia (47.8%). The typical symptom was decreased energy leading to fatigue (73.9%) while sleep disturbance (91.3%) and decreased concentration ability (89.1%) were common symptoms. Early awakening (89.1%), fatigue in the morning and reduced or no sexual activity (84.8%). Depression in patients with type 2 diabetes was mostly mild, accounting for 84.8%. Patients had good adherence with the selection of foods, except fish (34.8%), fruit (21.7%) for the food group that should be eaten; good adherence to the physical activity regimen accounted for 54.4%, however, there were still 21.7% of patients who did not participate regardless of the type of physical activity. Patient compliance with medication accounted for 71.7%, compliance with home blood glucose measurement (≥ 2 times/week) accounted for 30.4% and the majority of patients complied with the 1 time periodical health check regimen. Conclusion: Clinical symptoms of depression can easily be confused with symptoms of type 2 diabetes, so need to be noticed when examining and initially show that the patient understands and adheres to the treatment adherence.