Study On Effect Of Qigong Baduanjin On Quality Of Life And Depression Of Patients With Type 2 Diabetes Mellitus Co-morbid Depression In Community

Objective:To investigate the incidence of depression in Type 2 diabetes mellitus (T2 DM) patients and their quality of life, evaluate the effect of Qiging Baduanjin on quality of life and depression in patients with T2 DM co-morbid depression.Methods:Step 1:A random sample of 300 patients with T2 DM were investigated to find out the incidence of depression and their quality of life by General information questionnaire, Self-rating depression scale (SDS) and Quality of life scale for patients with Type 2 diabetes mellitus (DMQLS).Step 2:80 patients with T2 DM co-morbid depression were devided into into Baduanjin group and routine nursing group randomly, with 40 patients in each group. The patients in Baduanjin group practiced the Gymnastic Qigong Baduanjin and received routine community nursing. The patients in routine community nursing group received routine community care. Before intervention,6th and 12th week, all the patients were compared by scores of SDS, scores of DMQLS, body mass index (BMI) and laboratory examination, eg. glycosylated hemoglobin(HbA1c).All dates were analyzed by SPSS 11.0. Results:1. The incidence of depression in 279 patients with T2 DM in communities in Beijing was 39.07%. Fasting blood glucose (FBG) and the score of DMQLS of the patients with T2 DM co-combid depression was higher than that of the T2 DM patients without depression (P<0.05).2.69 patients with T2 DM co-combid depression were evaluated completely. Baduanjin group had 33 patients; routine community nursing group had 36 patients. After the intervention, Baduanjin group's HbA1c was lower than that of routine community nursing group (P<0.05); Meanwhile the difference of BMI between Baduanjin group and routine community nursing group was not significant after intervention (P>0.05).3. In terms of SDS, Baduanjin group got lower scores in the 6th and 12th week than the beginning of the intervention (P<0.05), and lower than routine community nursing group (P<0.05); The difference in SDS before and after intervention in routine community nursing group was not significant (P>0.05).4.In terms of quality of life, Baduanjin group's DMQLS scores were lower than that of routine community nursing group (P<0.05), and satisfactory and physical dimensions of DMQLS were improved (P<0.05).Baduanjin group's DMQLS was lower than that of before intervention (<0.05), After intervention, the scores in the satisfactory and physical dimensions of DMQLS were lower than before (P<0.05); The different in DMQLS of routine nursing group before and after intervention is not significant (P>0.05), while the satisfactory dimension of DMQLS is better than before.(P<0.05). Conclusion:This study shows that the incidence of depression in T2 DM with is high. In the term of blood glucose countrol, patients with T2 DM co-combid depression is worse than the T2 DM patients without depression. Quality of life of patients with T2 DM co-combid depression is worse than the T2 DM patients without depression. Qigong Baduanjin can relieve depression of the patients with T2 DM co-combid depression and improve their quality of life, especially in their satisfaction and physiology.