背景：社會支持與病人自我照顧和健康狀態有關，病人的心理社會問題在糖尿病照護扮演一
個非常重要的角色。
目的：探討第二型糖尿病患者社會支持與憂鬱、焦慮的相關性。
方法：採橫段式調查法，以立意取樣於北、中、南之三所區域教學醫院糖尿病門診共收案iii
位第二型糖尿病患者。問卷包括社會支持、心理轉介量表、貝克憂鬱量表及貝克焦慮量表。
結果：本研究結果顯示：⑴族群中約有12.6%有憂鬱及27.0%有焦慮情形。⑵憂鬱與焦慮呈顯著正相關（r = .65, p < .01);憂鬱與疾病控制方法總和（r = -.26, p < .01)及社會支持 O = -.27, p < .01)呈顯著負相關，這些變項同時為患者憂鬱的最重要解釋因子，可解 釋45.5%之變異量。⑶焦慮則與年齡（r = .26, p < .01 )、罹患合併症種類總和（r = .31, p < .01)呈顯著正相關；焦慮與體重（r = -.20, p < .05)及疾病控制方法總和（r = -.25, p < .05)達顯著負相關；以上變項亦為焦慮的最重要解釋因子，可解釋15.2%之變異
結論/憂鬱及焦慮等心理因素皆是糖尿病患者顯著共通性的疾病症狀，對於這些病患如果加 實務應用強社會支持，則心理因素亦會改善。專業照護人員應重視評估患者憂鬱及焦慮程度， 加強社會支持及提供轉介至心理相關之專業機構。

Background: Social support is「elated to patient self-ca「e and health status. Patients' psychosocial issues play an important 「ole in diabetes care.
Purpose: This study investigates correlations among social support, depression and anxiety in patients with diabetes.
Methods: A cross-sectional study design and purposive sampling were used. One hundred eleven patients with type-2 diabetes were recruited from three regional teaching hospitals in northern, central, and southern Taiwan, respectively. Questionnaires used included the social support and psychological referral inventory, Beck depression inventory, and Beck anxiety inventory.
Results: Approximately 12.6% of the study population had depression, and 27.0% had anxiety. Depression and anxiety were positively correlated (厂=.65, p < .01), whereas depression was negatively correlated with the sum of disease control types (厂=-0.26, p < .01) and social support (厂=-0.27, p <.01). The sum of disease control types and social support were the most important explanatory factors for depression in patients, explaining 45.5% of variance. Anxiety was correlated positively with age (厂=.26, p < .01), total number of complications (厂=.31, p < .01), and depression (厂=.65, p < .01). Anxiety correlated negatively with weight (厂=-0.20, p < .05) and sum of disease control types (厂=-0.25, p < .05). The above variables were important explanatory factors for anxiety, accounting for 15.2% of variance.
Conclusions/Implications for Practice: Psychological factors, such as depression and anxiety, are common symptoms in patients with diabetes. If social support can be strengthened in these patients, then psychological factors can be improved. Professional care providers should focus on reducing the patient depression and anxiety levels, strengthening social support, and providing referrals to psychology-related professionals.