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研究生:李淑惠
研究生(外文):Shuw-Huey Lee
論文名稱:探討老人憂鬱與糖尿病風險之關聯並預測新生糖尿病之風險
論文名稱(外文):Depression Is Associated With The Risk Of Diabetes And It Predicts The Risk Of New Diabetes In Older Taiwanese
指導教授:蔡仲弘蔡仲弘引用關係
指導教授(外文):Alan C. Tsai
口試委員:王俊毅張菡馨蔡仲弘
口試委員(外文):Jiun-Yi WangChang,Han-HsinAlan C. Tsai
口試日期:2012-06-13
學位類別:碩士
校院名稱:亞洲大學
系所名稱:健康產業管理學系長期照護組碩士在職專班
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:中文
論文頁數:29
中文關鍵詞:糖尿病憂鬱台灣中老年人
外文關鍵詞:DiabetesDepressionOlder Taiwanese
相關次數:
  • 被引用被引用:5
  • 點閱點閱:1087
  • 評分評分:
  • 下載下載:241
  • 收藏至我的研究室書目清單書目收藏:3
目標:憂鬱與糖尿病是中老人健康的重要問題。因此,本研究的目的在探討憂鬱與糖尿病的關聯以及憂鬱是否會增加中老人罹患糖尿病的風險。方法:本研究資料來源為「台灣中老年身心社會生活狀況長期追蹤調查」。以1999年及2003年完訪者及排除資料不完整的個案,研究對象共4,214名。以邏輯斯迴歸分析1999年憂鬱與糖尿病於的横斷關聯及預測隨後4年新罹患糖尿病風險的縱貫關聯。結果:在控制性別、年齡、教育年數、BMI、行動依賴、運動情形、抽菸、喝酒頻率、嚼檳榔、高血壓、心臟病、腎臟病、痛風及食物攝取(穀類、肉禽類、魚類、海鮮、蛋類、乳品、豆類、蔬菜、水果及飲茶狀況)等變項下,橫斷分析顯示有憂鬱狀況者比無憂鬱狀況者之糖尿病風險高30% (OR = 1.30, 95% CI = 1.03-1.63, p = 0.027);縱貫分析顯示,有憂鬱狀況者隨後四年罹患新糖尿病的風險比無憂鬱狀況者高61% (1.61, 1.12-2.33, p = 0.011)。結論:中老年人憂鬱狀況與糖尿病呈正關聯。憂鬱會增加罹患糖尿病的風險,是糖尿病的預測因子。此結果凸顯出中老年人心理健康的重要性,亦是降低中老人糖尿病發病風險的重要因子。
目錄
前言 1
研究目的 5
研究方法 5
結果 10
討論 11
結論 14
參考文獻 16

圖、表目錄
圖一、研究架構 7
表一、1999年研究樣本的社會人口學、生活方式及健康相關變項的分佈情形(N =4214) 22
表二、研究樣本社會人口學各變項與糖尿病分佈之單變項關聯卡方檢定(N,%) 24
表三、台灣中老年人社會人口、生活方式及健康相關因素與糖尿病發病風險回歸分析(控制變項為2003年狀況) 28
表四、台灣中老年人社會人口、生活方式及健康相關因素與糖尿病發病風險回歸分析(控制變項為1999年狀況) 29


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