CAJ | 학술논문

目的：探讨在心理干预基础上同伴教育对糖尿病足（DF）患者抑郁情绪的影响。方法采用抑郁自评量表（SDS）对在住院治疗的DF患者进行评估，将伴有轻、中度抑郁的患者随机分为两组：心理干预组（A组）和心理干预＋同伴教育组（B组）进行干预，为期12周，两组患者均给予 DF标准治疗。比较两组患者 SDS评分及视觉模拟评分法（VAS）评分在干预前后的变化情况。结果与干预前比较，两组 SDS评分及 VAS评分均有明显的改善。与 A组比较，B组 SDS评分和 VAS评分下降更明显（P＜0．01或＜0．05）。结论在相同药物治疗基础上，与单纯心理干预比较，在心理干预的基础上进行同伴教育可更显著地改善DF伴发抑郁情绪患者的 SDS评分及 VAS评分。
목적：탐토재심리간예기출상동반교육대당뇨병족（DF）환자억욱정서적영향。방법채용억욱자평량표（SDS）대재주원치료적DF환자진행평고，장반유경、중도억욱적환자수궤분위량조：심리간예조（A조）화심리간예＋동반교육조（B조）진행간예，위기12주，량조환자균급여 DF표준치료。비교량조환자 SDS평분급시각모의평분법（VAS）평분재간예전후적변화정황。결과여간예전비교，량조 SDS평분급 VAS평분균유명현적개선。여 A조비교，B조 SDS평분화 VAS평분하강경명현（P＜0．01혹＜0．05）。결론재상동약물치료기출상，여단순심리간예비교，재심리간예적기출상진행동반교육가경현저지개선DF반발억욱정서환자적 SDS평분급 VAS평분。
Objective To explore the impact of peer education on depression in patients with diabetic foot(DF) on the basis of psychological intervention.Methods Using Self-rating Depression Scale(SDS)to evaluate the inpatients with DF.The patients with mild or moderate depression were divided randomly into two groups:group A (psychological intervention)and group B (psychological intervention and peer education),the interventions were lasted for 1 2 weeks.Both groups were given standard treatment of DF.SDS score index and VAS scores were compared between two groups before and after intervention.Results SDS score and VAS score in group B reduced significantly compared with group A(P<0.01 or <0.05).Conclusion Compared with the simple psychological intervention,peer education on the basis of psychological intervention might effectively improve SDS score and VAS score.