CAJ | 학술논문

目的：探讨健康干预对2型糖尿病伴抑郁症患者的影响。方法将80例2型糖尿病伴抑郁症患者随机分为2组，对照组40例实施糖尿病知识和抑郁症健康知识宣教，干预组40例实施健康干预。连续观察4周，比较2组干预前后空腹血糖（FPG）、餐后2 h血糖（2 hPG）、汉密尔顿抑郁量表（HAMD）和总体幸福感量表（ GWB）评分变化。结果干预后干预组FPG、2 hPG水平及HAMD、GWB评分均较本组干预前及对照组干预后改善（P＜0．05）。结论健康干预能提高2型糖尿病伴抑郁症患者自我管理能力，控制血糖及抑郁情绪，提高患者生活质量。
목적：탐토건강간예대2형당뇨병반억욱증환자적영향。방법장80례2형당뇨병반억욱증환자수궤분위2조，대조조40례실시당뇨병지식화억욱증건강지식선교，간예조40례실시건강간예。련속관찰4주，비교2조간예전후공복혈당（FPG）、찬후2 h혈당（2 hPG）、한밀이돈억욱량표（HAMD）화총체행복감량표（ GWB）평분변화。결과간예후간예조FPG、2 hPG수평급HAMD、GWB평분균교본조간예전급대조조간예후개선（P＜0．05）。결론건강간예능제고2형당뇨병반억욱증환자자아관리능력，공제혈당급억욱정서，제고환자생활질량。
Objective To explore the influence of health interventions on the diabetes patients with depres -sion with a view to improve the life quality of patients .Methods 80 diabetes patients with depression were randomly divided into two groups .40 cases in control group received diabetes and depression health knowledge propaganda .40 cases in treatment group received health interventions ( systematic nursing education , psychological intervention , strengthen family and community support ).Fasting plasma glucose (FPG),2 h postprandial glucose (2 hPG),Hamil-ton Depression Scale ( HAMD) and General Well -being Schedule ( GWB) points of two groups before and after the intervention were compared after continuous observation for four weeks .Results The decrease of levels of FPG、2 hPG in trial group were more significant than those of the control group (P<0.05) after the intervention.After the intervention,all point in trial group were improved more significantly (P<0.05).Conclusion Health interventions can enhance self-management skills of diabetes patients with depression ,control the blood sugar level and improve depressive symptoms ,thereby improve the life quality of patients .