中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
35期
4268-4270
,共3页
糖尿病%抑郁症%健康教育%自我管理
糖尿病%抑鬱癥%健康教育%自我管理
당뇨병%억욱증%건강교육%자아관리
Diabetes%Depression%Health education%Self-management
目的 探讨自我管理教育对糖尿病伴抑郁症患者的影响,旨在提高患者自我管理能力.方法 将85例患者随机分为教育组43例和对照组42例,对照组接受一般说教式健康教育,教育组患者参与自我管理教育活动,采用自行设计的自我管理行为问卷及抑郁自评量表(SDS)和汉密尔顿抑郁量表(HAMD)调查患者自我管理行为和抑郁状况,8周后比较两组患者自我管理行为、抑郁状况、空腹血糖、餐后2h血糖控制状况.结果 干预前两组患者自我管理行为评分、SDS、HAMD、空腹血糖、餐后2h血糖比较差异均无统计学意义(P＞0.05)；8周后教育组患者服药依从性得分为(1.77±0.504)分,并发症的管理为(2.19±0.588)分,SDS(29.3±4.8)分、HAMD(11.5±6.9)分、空腹血糖(5.3±1.4) mmol/L、餐后2h血糖(8.6±1.1) mmoL/L,对照组分别为(1.32±0.744),(1.83 ±0.590),(36.5±5.4),(18.3±1.3)分,(9.2±2.1),(11.1±2.2)mmol/L,差异均有统计学意义(t=2.813,3.358,2.91,2.34,2.65,2.78；P ＜0.01),教育组患者自我管理行为问卷其他4项评分也高于对照组(P＜0.01).结论 自我管理教育能有效提高患者自我管理能力,控制患者血糖水平和改善抑郁症状,值得临床推广应用.
目的 探討自我管理教育對糖尿病伴抑鬱癥患者的影響,旨在提高患者自我管理能力.方法 將85例患者隨機分為教育組43例和對照組42例,對照組接受一般說教式健康教育,教育組患者參與自我管理教育活動,採用自行設計的自我管理行為問捲及抑鬱自評量錶(SDS)和漢密爾頓抑鬱量錶(HAMD)調查患者自我管理行為和抑鬱狀況,8週後比較兩組患者自我管理行為、抑鬱狀況、空腹血糖、餐後2h血糖控製狀況.結果 榦預前兩組患者自我管理行為評分、SDS、HAMD、空腹血糖、餐後2h血糖比較差異均無統計學意義(P＞0.05)；8週後教育組患者服藥依從性得分為(1.77±0.504)分,併髮癥的管理為(2.19±0.588)分,SDS(29.3±4.8)分、HAMD(11.5±6.9)分、空腹血糖(5.3±1.4) mmol/L、餐後2h血糖(8.6±1.1) mmoL/L,對照組分彆為(1.32±0.744),(1.83 ±0.590),(36.5±5.4),(18.3±1.3)分,(9.2±2.1),(11.1±2.2)mmol/L,差異均有統計學意義(t=2.813,3.358,2.91,2.34,2.65,2.78；P ＜0.01),教育組患者自我管理行為問捲其他4項評分也高于對照組(P＜0.01).結論 自我管理教育能有效提高患者自我管理能力,控製患者血糖水平和改善抑鬱癥狀,值得臨床推廣應用.
목적 탐토자아관리교육대당뇨병반억욱증환자적영향,지재제고환자자아관리능력.방법 장85례환자수궤분위교육조43례화대조조42례,대조조접수일반설교식건강교육,교육조환자삼여자아관리교육활동,채용자행설계적자아관리행위문권급억욱자평량표(SDS)화한밀이돈억욱량표(HAMD)조사환자자아관리행위화억욱상황,8주후비교량조환자자아관리행위、억욱상황、공복혈당、찬후2h혈당공제상황.결과 간예전량조환자자아관리행위평분、SDS、HAMD、공복혈당、찬후2h혈당비교차이균무통계학의의(P＞0.05)；8주후교육조환자복약의종성득분위(1.77±0.504)분,병발증적관리위(2.19±0.588)분,SDS(29.3±4.8)분、HAMD(11.5±6.9)분、공복혈당(5.3±1.4) mmol/L、찬후2h혈당(8.6±1.1) mmoL/L,대조조분별위(1.32±0.744),(1.83 ±0.590),(36.5±5.4),(18.3±1.3)분,(9.2±2.1),(11.1±2.2)mmol/L,차이균유통계학의의(t=2.813,3.358,2.91,2.34,2.65,2.78；P ＜0.01),교육조환자자아관리행위문권기타4항평분야고우대조조(P＜0.01).결론 자아관리교육능유효제고환자자아관리능력,공제환자혈당수평화개선억욱증상,치득림상추엄응용.
Objective To explore the influence of self-management education on the diabetes patients with depression with a view to improve patient self-management skills.Methods 85 cases were randomly divided into two groups: the experimental group ( n =43) and the control group ( n =42),general health knowledge education was applied to patients in control group,and patients in experimental group took part in the selfmanagement education activity,the status of self-management education and depression were tested by Zung' S Depression self-rating scale (SDS) and Hamilton Depression Rating Scale (24,HAMD),the self-management,depression,fasting plasma glucose (FPG),postprandial 2 h blood glucose (2 h PG) were compared between the two groups after eight weeks later.Results The score of self-management,SDS,HAMD,fasting plasma glucose and postprandial 2 h blood glucose were similar between the two groups before intervention ( P ＞ 0.05 ).After 8 weeks,the results of compliance of the self-management,manage of complications,SDS,HAMD,fasting plasma glucose,postprandial 2 h blood glucose were ( 1.77 ±0.504),(2.19 ±0.588),(29.3 ±4.8),( 11.5 ±6.9),(5.3 ± 1.4) and (8.6 ± 1.1 ) in experimental group,respectively; but were ( 1.32 ± 0.744),( 1.83 ± 0.590),(36.5 ± 5.4),( 18.3 ± 1.3 ),(9.2 ± 2.1 ),( 11.1 ± 2.2 ) in control group,there were significantly different between the two groups (t =2.813,3.358,2.91,2.34,2.65,2.78; P ＜ 0.01 ).another four items of selfmanagement were obviously higher than in control group (P ＜ 0.01 ).Conclusions Self-management education can improve the patients' ability of self-management,it also can control the blood glucose level and improve the depression status,it is worthy of spreading in clinical.
