CAJ | 학술논문

目的通过对门诊执行不同降糖方案的糖尿病患者抑郁程度的分析,提出有针对性地护理干预,以减轻患者焦虑抑郁程度,提高患者的生活质量.方法将来我院门诊就诊的296例糖尿病患者按降糖方案不同分为生活干预组66例,口服药组98例,胰岛素组72例和联合治疗组60例.采用Zung氏焦虑自评量表(SAS)、Zung氏抑郁自评量表(SDS)对患者进行问卷调查,比较不同降糖方案患者之间的SAS、SDS的差异性.结果门诊糖尿病患者SAS评分明显高于国内常模,差异有统计学意义(P＜0.01);SDS评分比常模略高,但无统计学意义.不同降糖方案患者之间的SAS、SDS评分,差异具有统计学意义(P＜0.05).结论门诊不同降糖方案的糖尿病患者存在明显的焦虑、抑郁心理,且生活干预组患者(饮食和运动控制)抑郁、焦虑情绪严重,应该对其进行护理干预.
목적 통과대문진집행불동강당방안적당뇨병환자억욱정도적분석,제출유침대성지호리간예,이감경환자초필억욱정도,제고환자적생활질량.방법 장래아원문진취진적296례당뇨병환자안강당방안불동분위생활간예조66례,구복약조98례,이도소조72례화연합치료조60례.채용Zung씨초필자평량표(SAS)、Zung씨억욱자평량표(SDS)대환자진행문권조사,비교불동강당방안환자지간적SAS、SDS적차이성.결과 문진당뇨병환자SAS평분명현고우국내상모,차이유통계학의의(P＜0.01);SDS평분비상모략고,단무통계학의의.불동강당방안환자지간적SAS、SDS평분,차이구유통계학의의(P＜0.05).결론 문진불동강당방안적당뇨병환자존재명현적초필、억욱심리,차생활간예조환자(음식화운동공제)억욱、초필정서엄중,응해대기진행호리간예.
Objective To analysis the depression severity of outpatient diabetic patients with different hypoglycemic programs,to put forward targeted nursing intervention to reduce the degree of anxiety and depression of patients and improve patients' quality of life.Methods A total of 296 cases of outpatient diabetic patients according to different hypoglycemic scheme were divided into life intervention group with 66 cases,oral medicine group with 98 cases,insulinum group with 72 cases and combination therapy group with 60 cases.Those patients were investigated by Zung's anxiety (SAS) checklist,Zung Self-Rating Depression Scale (SDS) to compare the differences of SAS,SDS.Results The score of SAS of the outpatient diabetic patients was significantly higher than that of the national norm,the score of SDS was slightly higher than that of the norm.The differences of different hypoglycemic scheme in the scores of SAS,SDS were statistically significant (P ＜ 0.05).Conclusions Different hypoglycemic scheme for outpatient diabetic patients had significant anxiety and depression.Patients with life intervention group (diet and exercise in patients with blood sugar control) had serious anxiety and depression mood,they should be carried on the nursing intervention.