老年综合评估干预对老年2型糖尿病合并情绪障碍患者的影响

目的:探讨老年综合评估(CGA)干预对老年2型糖尿病合并情绪障碍患者的影响。方法:选取2020年3月至2021年3月郑州大学第一附属医院老年内分泌科收治的108例2型糖尿病合并情绪障碍的老年患者，随机分为常规治疗组和CGA组(各54例)，CGA组在常规治疗组基础上进行CGA干预。进行8周的临床观察后，并综合评估患者的认...

Effects of comprehensive geriatric assessment and intervention on treatment outcomes of elderly patients with type 2 diabetes mellitus and emotional disorders

Objective To investigate the effects of comprehensive geriatric assessment(CGA)and intervention on treatment outcomes of type 2 diabetes and concurrent emotional disorders in the elderly.Methods 108 type 2 diabetes cases with emotional disorders were enrolled from March 2020 to March 2021 in the First Affiliated Hospital of Zhengzhou University and randomly divided into the conventional treatment group and the CGA group(54 cases each).The control group was given standard drug treatment and psychological counseling,whereas the CGA group was additionally given individualized treatment based on CGA guidelines.After observation for 8 weeks,clinical effects in the two groups were examined.Changes in cognitive status,nutritional status,fall risk and results on other indicators in patients were comprehensively assessed and statistically analyzed.Results Compared with pre-treatment data,8 weeks of treatment for both the control group and the CGA group resulted in decreased FPG levelscontrol group(10.16±0.90)mmol/L,(8.70±2.98)mmol/L,t=2.58,P=0.011;CGA group:(9.94±0.82)mmol/L,(7.12±2.25)mmol/L,t=8.65,P=0.000],2hPG levelscontrol group:(11.83±3.92)mmol/L,(10.53±2.70)mmol/L,t=2.01,P=0.047;CGA group:(10.64±2.99)mmol/L,(9.26±1.89)mmol/L,t=2.87,P=0.005],HbA1C(%)control group:(9.76±1.09)%,(8.66±2.64)%,t=2.83,P=0.006;CGA group:(9.38±2.92)%,(7.81±1.78)%,t=3.37,P=0.001],HAMD-24 scorescontrol group(25.69±4.70),(24.20±2.48),t=2.06,P=0.042;CGA group(24.03±4.00),(22.11±1.38),t=3.33,P=0.001],and HAMD-14 scorescontrol group(19.66±2.84),(18.41±2.34),t=2.50,P=0.014;CGA group(18.77±2.48),(17.39±2.36),t=2.96,P=0.004],respectively,with more marked changes in all measures in the CGA group than in the control group(all P<0.05).Conclusions Early CGA can effectively improve blood glucose levels and relieve mood disorders in elderly type 2 diabetes with emotional disorders.