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Journal of Diabetes Research
Volume 2017, Article ID 1769897, 7 pages
Research Article

Investigating Factors Associated with Depressive Symptoms of Chronic Kidney Diseases in China with Type 2 Diabetes

1Department of Nursing, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China
2School of Nursing, Nantong University, Nantong, Jiangsu Province, China
3Department of Epidemiology, School of Public Health, Nantong University, Nantong, Jiangsu Province, China
4Department of Endocrinology, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China

Correspondence should be addressed to Weiqun Weng; moc.361@110nuqiewgnew

Received 22 November 2016; Revised 21 December 2016; Accepted 15 January 2017; Published 2 February 2017

Academic Editor: Tao Xing

Copyright © 2017 Xu Wang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aim. To assess the depressive symptoms status of chronic kidney diseases in Nantong, China, with type 2 diabetes and to identify factors associated with depressive symptoms. Methods. In this cross-sectional analytic study, 210 type 2 diabetic patients were recruited from the Second Affiliated Hospital of Nantong University. Depressive symptoms were assessed with the depression subscale of the Hospital Anxiety and Depression Scale (HAD-D). The quality of life was measured with the RAND 36-Item Health Survey (SF-36). And the independent risk factors of depressive symptoms were assessed by using a stepwise forward model of logistic regression analysis. Results. The mean age of the study subjects was 57.66 years (SD: 11.68). Approximately 21.4% of subjects reported depressive symptoms (). Forward stepwise logistic regression analysis showed that female gender (), hypertension (), Stage IV (), and Stage V () were significant risk factors for depressive symptoms. The quality of life of individuals with HAD-D score <11 was significantly better compared with individuals with HAD-D score ≥ 11. Conclusions. These results indicate that clinicians should be aware that female patients with chronic kidney diseases with T2DM in their late stage with hypertension are at a marked increased risk of depressive symptoms. Providing optimal care for the psychological health of this population is vital.