CAJ | 학술논문

目的：探讨团体心理干预对社区老年糖尿病患者心身状况的影响。方法采用老年焦虑量表（GAI），老年抑郁量表（GDS），D 型人格量表（DS）和社会支持量表（SSRS）对71例患者进行焦虑、抑郁、D 型人格和社会支持状况测评，同时检测血糖（FBG）和唾液皮质醇（SC）水平。患者随机分为干预组和对照组，干预组进行5次以心身放松为主要内容的团体心理干预，对照组不干预。干预后即刻测试上述指标，6个月后随访测试心理指标。结果与对照组相比，干预组 GAI、GDS、消极情绪（NA）和 SC 水平显著低于对照组，SSRS 总分显著高于对照组。干预组干预后即刻和6个月随访时 GAI、GDS、DS 得分显著低于干预前，SSRS 总分显著高于干预前。干预6个月后GAI、GDS 和 SSRS 得分明显好于干预后即刻。FBG 与 DS 显著正相关；SC 与 GAI 显著正相关，与 SSRS 显著负相关。结论心身放松明显改善老年糖尿病患者的心理和生理状况，且对焦虑、抑郁和社会支持的改善可维持6个月。
목적：탐토단체심리간예대사구노년당뇨병환자심신상황적영향。방법채용노년초필량표（GAI），노년억욱량표（GDS），D 형인격량표（DS）화사회지지량표（SSRS）대71례환자진행초필、억욱、D 형인격화사회지지상황측평，동시검측혈당（FBG）화타액피질순（SC）수평。환자수궤분위간예조화대조조，간예조진행5차이심신방송위주요내용적단체심리간예，대조조불간예。간예후즉각측시상술지표，6개월후수방측시심리지표。결과여대조조상비，간예조 GAI、GDS、소겁정서（NA）화 SC 수평현저저우대조조，SSRS 총분현저고우대조조。간예조간예후즉각화6개월수방시 GAI、GDS、DS 득분현저저우간예전，SSRS 총분현저고우간예전。간예6개월후GAI、GDS 화 SSRS 득분명현호우간예후즉각。FBG 여 DS 현저정상관；SC 여 GAI 현저정상관，여 SSRS 현저부상관。결론심신방송명현개선노년당뇨병환자적심리화생리상황，차대초필、억욱화사회지지적개선가유지6개월。
Objective To explore the effects of group psychological intervention on physiological and psychological state of elderly patients with diabetes.Methods A total of 71 elderly patients with diabetes living in one community were randomly divided into the intervention group and control group.The intervention group received 5 sessions of group psychological intervention,while the control group had no intervention.All patients were assessed with rating scales including the Geriatric Anxiety Inventory (GAI),Geratric Depression Scale (GDS),Social Support Rating Scale (SSRS)and Type D personality scale (DS).Fasting blood-glucose (FBG)and saliva cortisol (SC)before and after intervention were detected.All patients were retested with mental rating scales 6 months after intervention.Results After intervention,the scores of GDS,GAI,negative affectivity (NA)and SC level were significantly lower,while SSRS score was higher than that of the control group.Immediately after intervention,the scores of GAI,GDS and two dimensions of DS decreased and the SSRS score increased.Furthermore,the decreased negative emotions and increased social support of the intervention group persisted after 6 months.The level of blood glucose was positively related with DS score,and SC level was significantly positively correlated to GAI but negatively to SSRS score.Conclusion Group psychological intervention can improve the mental and physiological status of elderly diabetic patients,and the improved state can maintain at least six months.