早期心理干预对初发糖尿病患者的疗效研究

目的探讨早期心理干预对糖尿病患者心理及疗效的影响。方法将我院收治并诊断为初发的2型糖尿病的68例患者随机分为干预组和对照组，每组34例，两组患者均采用常规的降糖药物治疗，同时干预组患者给予每周1次的心理干预治疗，每次时间20～30min，疗程6周，治疗前后分别应用Zung自评抑郁量表、Zung自评焦虑量表、症状自评量表（SCL-90）对患者进行评估，并测定两组患者治疗前后空腹血糖（FBG）变化情况。结果①治疗前两组患者Zung自评抑郁量表、Zung自评焦虑量表的总评分比较，差异无统计学意义（P〉0．05）；治疗后干预组患者Zung自评抑郁量表、Zung自评焦虑量表的总评分与治疗前及对照组比较有所降低，差异有统计学意义（P〈0．05）。②与治疗前比较，治疗后干预组患者SCL-90总均分及各项评分均明显降低，差异有统计学意义（P〈0．05）。③治疗前干预组FBG为（12．1±2．8）mmol／L，对照组FBG为（11．9±2．9）mmol／L，两组比较差异无统计学意义（P〉0．05）：治疗后干预组FBG为（8．0±2．O）mmol／L，对照组FBG为（8．9±1．8）mmol／L，两组比较差异有统计学意义（P〈0．05）。结论初发糖尿病患者心理健康状况下降，对患者进行早期心理干预有助于改善患者抑郁、焦虑情况，提高治疗效果。

Study of efficacy on early psychological intervention on patients with incipient diabetic

Objective To investigate the efficacy on early psychological intervention of patients with incipient diabetic.Methods 68 patients with incipient type 2 diabetic in our hospital were randomly divided into intervention group(n = 34 cases) and control group(n= 34 cases),two groups were treated with conventional hypoglycemic drug,intervention group patients were given psychological intervention each a week,each time 20-30 min,for six weeks,Zung’s self-rating depression scale,Zung’s self-rating anxiety Scale,the symptom rating Scale(SCL-90) were used before and after treatment,and determination of the two groups of patients before and after the fasting blood glucose(FBG) changes.Results ①Before the treatment,there were no significant difference in Zung’s self-rating depression scale,Zung’s self rating anxiety scale total average of patients between two groups(P > 0.05);compared with control group and before treatment,total average score of Zung’s Self-Rating Depression Scale and Zung’s self rating anxiety scale of patients in the intervention group was decreased after treatment,there was significant different(P < 0.05).②Compared with before treatment,the SCL-90 total average score and the scores of patients in the intervention group were significantly decreased after treatment(P < 0.05).③Before treatment,the intervention group FBG was(12.1±2.8) mmol/L,the control group FBG was(11.9±2.9) mmol/L,there was no significant different between the two groups(P > 0.05);after treatment,the intervention group FBG was(8.0±2.0) mmol/L,the control group FBG was(8.9±1.8)mmol/L,there was significant difference between the two groups(P < 0.05).Conclusion Early psychological intervention for patients can help to improve the patients with depression,anxiety situation,and improve the therapeutic effect.