CAJ | 학술논문

为探讨个性化心理干预对老年2型糖尿病合并高血压患者治疗的影响，文章将2012年6月-2013年6月本科确诊的老年2型糖尿病伴高血压患者收治的200例，随机平均分为研究组和对照组，2组患者均由2名以上医生根据患者病情给予正规降糖、降压口服药物治疗。研究组在正规药物治疗基础上，再根据患者不同年龄、文化层次采取个性化的心理干预。2组疗程12周，采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评估患者治疗前后的焦虑、抑郁程度，同时观测治疗前后2组患者的血压、血糖、糖化血红蛋白、低密度脂蛋白、腰臀比指标的变化情况。结果显示：2组在治疗前SAS和SDS评分无统计学差异；12周后研究组患者不仅SAS、SDS标准分与对照组比有显著差异（P<0．05），研究组血压、血糖、糖化血红蛋白、低密度脂蛋白、腰臀比与对照组相比差异显著（P<0．05）。说明应用适当的心理干预，对于老年性2型糖尿病伴高血压患者的生活质量并有效控制血压、血糖具有良好效果。
위탐토개성화심리간예대노년2형당뇨병합병고혈압환자치료적영향，문장장2012년6월-2013년6월본과학진적노년2형당뇨병반고혈압환자수치적200례，수궤평균분위연구조화대조조，2조환자균유2명이상의생근거환자병정급여정규강당、강압구복약물치료。연구조재정규약물치료기출상，재근거환자불동년령、문화층차채취개성화적심리간예。2조료정12주，채용초필자평량표（SAS）화억욱자평량표（SDS）평고환자치료전후적초필、억욱정도，동시관측치료전후2조환자적혈압、혈당、당화혈홍단백、저밀도지단백、요둔비지표적변화정황。결과현시：2조재치료전SAS화SDS평분무통계학차이；12주후연구조환자불부SAS、SDS표준분여대조조비유현저차이（P<0．05），연구조혈압、혈당、당화혈홍단백、저밀도지단백、요둔비여대조조상비차이현저（P<0．05）。설명응용괄당적심리간예，대우노년성2형당뇨병반고혈압환자적생활질량병유효공제혈압、혈당구유량호효과。
To explore the effect of treatment in elderly patients with type 2 diabetes with hypertension individualized psychological intervention, the paper chooses 200 patients in our hospital in 2011 June-2012 June treated elderly type 2 diabetic patients with hypertension as the object of study, they were randomly divided into 2 groups, the observation group control group of 100 patients ,all patients by two senior doctors based on two or more specific condition given hypoglycemic, antihypertensive oral medication. Intervention group to take individualized psychological intervention on the basis of the control group patients according to age, educational level and personality traits. The scores of depression(SDS)and anxiety(SAS),and levels of blood pressure, blood glucose, glycated hemoglobin, low density lipoprotein and waist-to-hipratio were compared after 12 weeks. The results shows until the end of the experiment, the intervention group lost two people, three people lost control group, the total release rate of 2.5%. Two groups before treatment SAS and SDS scores was no significant difference;The scores of SDS and SAS,and the levels of levels of blood pressure, blood glucose, glycated hemoglobin, low density lipoprotein and waist-to-hiprati were decreased in each group after 12 weeks treatment compared with the baseline levels respectively (P<0.05).The elderly type 2 diabetic patients with hypertension , while the use of conventional therapy , if given appropriate psychological interventions to achieve better blood glucose, blood pressure effects, but also conducive to the patient's physical and mental health.