CAJ | 학술논문

【目的】探讨以聚焦解决模式为基础的心理护理干预方法在2型糖尿病（T2DM ）抑郁症中的应用价值。【方法】采用汉密尔顿抑郁量表对240例T2DM患者的抑郁状况进行评估，选择其中合并抑郁的患者100例，分为观察组和对照组，每组50例。对照组采用常规健康教育、心理护理及药物治疗，观察组在对照组治疗方案的基础上加以聚焦解决心理护理模式进行干预，比较两组住院时间、住院费用和生活质量等。【结果】观察组住院时间及住院费用显著低于对照组（P ＜0．01）；观察组干预后抑郁焦虑评分值明显降低，干预前后比较有统计学意义（P＜0．01）；观察组干预后生活质量明显提高（ P＜0．05）。【结论】以聚焦解决模式为基础的心理干预策略能为糖尿病抑郁症的患者提供有效的心理护理，有效的控制血糖，提高生活质量。
【목적】탐토이취초해결모식위기출적심리호리간예방법재2형당뇨병（T2DM ）억욱증중적응용개치。【방법】채용한밀이돈억욱량표대240례T2DM환자적억욱상황진행평고，선택기중합병억욱적환자100례，분위관찰조화대조조，매조50례。대조조채용상규건강교육、심리호리급약물치료，관찰조재대조조치료방안적기출상가이취초해결심리호리모식진행간예，비교량조주원시간、주원비용화생활질량등。【결과】관찰조주원시간급주원비용현저저우대조조（P ＜0．01）；관찰조간예후억욱초필평분치명현강저，간예전후비교유통계학의의（P＜0．01）；관찰조간예후생활질량명현제고（ P＜0．05）。【결론】이취초해결모식위기출적심리간예책략능위당뇨병억욱증적환자제공유효적심리호리，유효적공제혈당，제고생활질량。
[Objective] To explore the value of psychological nursing intervention method based on focus resolution mode used in depression of type 2 diabetes mellitus .[Methods] Hamilton depression scale was used to evaluate the depres-sion status of 240 patients with type 2 diabetes mellitus .Among them ,100 patients combined with depression were cho-sen and divided into observation group and control group with 50 patients in each group .The control group received com-mon health education ,psychological nursing and medicine treatment .The observation group received intervention with fo-cus resolution psychological nursing mode based on the treatment of the control group . Hospitalization time ,cost and quality of life were compared between two groups .[Results] Hospitalization time and cost in observation group were sig-nificantly lower than those in control group ( P<0 .01) .The scores of depression and anxiety in observation group after intervention were obviously decreased ,and there was significant difference between before and after intervention ( P <0 .01) .The quality of life in observation group after intervention was obviously improved ( P<0 .05) .[Conclusion]Psy-chological intervention strategy based on focus resolution mode can provide effective psychology nursing ,effectively control blood glucose and improve the quality of life for patients with diabetic depression .