心理干预对2型糖尿病患者焦虑抑郁情绪及血糖控制状况的影响

目的探讨心理干预对2型糖尿病患者焦虑抑郁情绪及血糖控制状况的影响，为临床干预提供依据。方法将168例2型糖尿病患者随机分为两组，每组84例，两组患者均予以常规药物治疗与健康指导，干预组在此基础上进行心理干预，观察6个月。于干预前及干预6个月末采用焦虑自评量表、抑郁自评量表评定焦虑抑郁状况，治疗6个月末评定血糖控制状况。结果干预前两组焦虑自评量表、抑郁自评量表评分及焦虑、抑郁情绪检出率比较差异均无显著性（P〉0．05）；心理干预6个月末，两组焦虑自评量表、抑郁自评量表评分均较干预前显著下降（P〈0．01），且干预组焦虑自评量表、抑郁自评量表评分及焦虑、抑郁情绪检出率均显著低于对照组（P〈0．01），血糖控制状况显著优于对照组（P〈0．01）。结论心理干预能显著改善2型糖尿病患者的焦虑、抑郁情绪，提高血糖控制状况。

Influences of mental intervention on anxious-depressive emotions and glucose control of type 2 diabetics

Objective To explore the influences of mental intervention on anxious depressive emotions and glucose control of type 2 diabetics in order to provide basis for clinical intervention. Methods A total of 168 tyep 2 diabetics were randomly assigned to two groups of 84 patients each, both groups received rou tine pharmacotherapy and health guidance, intervention group was plus mental intervention for 6 months. Anxiety and depression status were assessed with the Self-rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS） at baseline and the end of 6 month intervention and blood glucose control states at the end of 6 month intervention. Results There were no significant group differences in SAS and SDS score as well as detection rates of anxious and depressive emotions before intervention （P〉0.05） ; at the end of 6 month intervention, the SAS and SDS scores of both groups lowered more significantly compared with pretreatment （P〈0.0l）, the SAS and SDS scores （P〈0.01） and detection rates of anxious and depressive emotions （P〈0.01） were significantly lower and glucose control better （P〈0.01） in observation than in control group. Conclusion Psychological intervention could effectively improve anxious and depressive e motions of type 2 diabetics and raise glucose control.