| 心理干预对社区2型糖尿病伴抑郁症状患者糖代谢的影响 |
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| 引用本文： | 薛君,石丹华,敖梅,李磊,冯朝霞,吕果梅,曹晓晶. 心理干预对社区2型糖尿病伴抑郁症状患者糖代谢的影响[J]. 中华全科医学, 2017, 15(1): 110-112. DOI: 10.16766/j.cnki.issn.1674-4152.2017.01.034 |
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| 作者姓名： | 薛君 石丹华 敖梅 李磊 冯朝霞 吕果梅 曹晓晶 |
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| 作者单位： | 内蒙古医科大学第三附属医院友谊办事处社区卫生服务中心, 内蒙古 包头 014010 |
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| 摘 要： | 目的 探讨心理干预对社区2型糖尿病(T2DM)合并抑郁患者的糖代谢的影响。 方法 以包头市友谊办事处社区卫生服务中心410例T2DM患者为研究对象,按照Zung抑郁自评量表(SDS)进行评价分析,测定出176例2型糖尿病伴抑郁患者。将176例T2DM伴抑郁患者按照随机数字表法分为实验组与对照组各88例,对照组采用常规治疗,实验组在常规治疗的基础上联合心理干预治疗。心理干预治疗3个月后重新测定2组空腹血糖(FPG)、餐后2 h血糖(PG2h)、糖化血红蛋白(Hb A1c)及SDS评分。心理干预治疗停止2个月后,随访再次测定FPG、PG2h及Hb A1c,并重新进行抑郁水平以及生活质量状况评估,采用SPSS 17.0统计软件进行分析。 结果 经心理干预治疗3个月,实验组FPG、PG2h、Hb A1c明显低于对照组,并且实验组抑郁指数明显低于对照组,差异有统计学意义(P<0.01);心理干预停止后2月,实验组糖代谢指标明显低于对照组,抑郁指数明显低于对照组,差异有统计学意义(P<0.01)。 结论 心理干预可以有效改善社区2型糖尿病合并抑郁的抑郁症状及糖代谢指标,但需要长期坚持。
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| 关 键 词： | 2型糖尿病 抑郁 心理干预 |
| 收稿时间： | 2016-03-26 |
Effects of psychological intervention on glucose metabolism in patients with type 2 diabetes mellitus accompanying depression in community |
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| Affiliation: | The Third Affiliated Hospital of lnner Mongolia Medical University, Community Health Service Center of Friendship Office, Baotou, Inner Mongolia 014010, China |
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| Abstract: | Objective To explore the effect of psychological intervention on glucose metabolism in community patients with type 2 diabetes mellitus (T2DM) with depressive symptoms. Methods Four hundred and ten cases of T2 DM patients in the community health service center of Baotou friendship office were selected as the research objects.According to Zung self rating depression scale (SDS) for evaluation and analysis,we found that 176 cases of T2 DM with depression.One hundred and seventy-six cases of T2 DM with depression were randomly divided into the study group and the control group with 88 cases in each group.The control group was treated with routine treatment,while the experimental group was received of psychological treatment on the basis of conventional treatment.After 3 months of psychological intervention,fasting blood glucose (FPG),postprandial two hours blood glucose (PG2h),glycosylated hemoglobin (Hb A1c) and Zung self rating Depression Scale (SDS) were measured in two groups.After two months intervention being stopped,the follow-up was conducted to determine the levels of FPG,PG2 h,and Hb A1 c,and to assess the level of depression and quality of life.Statistical analysis was performed using SPSS 17.0 statistical software. Results After 3months of psychological intervention,the results of FPG,PG2 h and Hb A1 c in the experimental group were significantly lower than those in the control group,the depression index was significantly lower than that of the control group,the difference was statistically significant (P<0.01).After two months intervention being stopped,the glucose metabolism indexes of the experimental group were significantly lower than that of the control group;the depression index was dramatically lower than that of the control group,the difference was remarkable (P<0.01). Conclusion Mental intervention can effectively improve the depression symptoms and glucose metabolism of community type 2 diabetes patients with depression,but it takes a long time. |
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