Convergence Effect Factors of Hypertension and Diabetes Mellitus on Depression and Suicidal Impulse

고혈압과 당뇨병이 우울과 자살생각에 미치는 융합적인 영향 요인

  • Lee, Hyun Sook (Dept. of Health Administration, Kongju National University) ;
  • Hong, Seong Ae (Dept. of Health Administration, Kongju National University)
  • Received : 2016.11.13
  • Accepted : 2017.01.20
  • Published : 2017.01.28


The purpose of this study is to investigate the effects of hypertension and diabetes mellitus on depression and suicidal impulse through the total inspection on specific rural areas in Gangwon-do. This survey selected adults over the age of 30 and conducted from May 19 to Sep. 30 in 2014. Of the 1,200 questionnaires distributed, 970 were completed and returned to be used for the study. To figure out the actual condition of hypertension and diabetes among the participants, the research examined the degree of their depression and suicidal impulse. It examined their smoking and exercise habits to check their health conditions. The research showed that patients diagnosed with hypertension and diabetes had a higher tendency of depression and suicidal impulse. The significant variable affecting depression is suicidal impulse(p<0.001>). Also, the significant variables affecting suicidal impulse are hypertension and depression. Based on these results, local health institutions need to include mental health services for the patients with hypertension and diabetes and coordinate them comprehensively and effectively.

본 연구는 강원도 일 농촌지역의 주민들을 대상으로 고혈압과 당뇨병이 우울증과 자살의도에 미치는 영향력을 분석하고자 시도하였다. 설문조사는 2014년 5월19일부터 9월 30일까지 진행되었으며, 30세이상의 성인 1200명의 대상자 중 970명이 참여하였다. 조사 도구는 고혈압과 당뇨병 현황과 대상자들의 정신 건강 상태를 파악하기 위해 우울감과 자살생각 수준을 조사하였고, 건강생활 행태를 보기 위해 흡연과 운동여부를 조사하였다. 연구 결과, 고혈압과 당뇨병으로 진단된 환자들의 우울감과 자살의도가 유의미하게 높았다(p<0.001>). 또한 자살의도에 가장 영향을 미치는 요인은 고혈압과 우울감이었다. 이러한 결과를 바탕으로 지역사회 중심의 고혈압, 당뇨병 관리사업에 정신보건서비스를 반드시 포함시켜 포괄적이고 효율적인 운영이 되도록 노력하여야 한다.



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