中国医药
中國醫藥
중국의약
China Medicine
2015年
10期
1552-1554
,共3页
尹爱良%马玉凤%肖春光%李晨%王昌荣
尹愛良%馬玉鳳%肖春光%李晨%王昌榮
윤애량%마옥봉%초춘광%리신%왕창영
糖尿病,2型%抑郁症%家属%认知疗法
糖尿病,2型%抑鬱癥%傢屬%認知療法
당뇨병,2형%억욱증%가속%인지요법
Diabetes mellitus,type 2%Depressive disorder%Families%Cognitive therapy
目的 探讨家属参与心理干预对2型糖尿病伴抑郁症患者的影响.方法 选取2012年9月至2015年3月于山东省威海市文登中心医院住院的2型糖尿病伴抑郁症且家属愿意参与心理干预的300例患者纳入观察.由专门人员分次对患者家属进行认知行为疗法培训,然后模拟情景考核.将家属考核合格能与护士共同参与认知行为疗法干预的患者140例纳入观察组,将只能由护士进行认知行为疗法干预的患者160例纳入对照组.比较2组患者心理干预前和干预4周后空腹血糖、餐后2h血糖、糖化血红蛋白、汉密顿抑郁量表(HAMD)评分、HAMD减分率差异.结果 心理干预4周后,观察组和对照组空腹血糖、餐后2h血糖、糖化血红蛋白、HAMD评分均明显低于干预前[观察组:(7.1±1.2) mmol/L比(10.6 ±3.6)mmol/L,(8.8±1.4) mmol/L比(14.8±4.0)mmol/L,(7.6±1.3)％比(9.0±1.8)％,(6.2±1.5)分比(20.5±2.8)分;观察组:(7.4±1.0) mmol/L比(10.1±2.8) mmol/L,(9.5±1.6) mmol/L比(14.6 ±3.9) mmol/L,(7.8±1.5)％比(9.2±1.8)％,(12.8±2.3)分比(20.2±2.6)分],差异有统计学意义(P＜0.05);2组患者空腹血糖、餐后2h血糖、糖化血红蛋白比较,差异均无统计学意义(P＞0.05);观察组HAMD评分明显低于对照组,HAMD量表减分率明显高于对照组[(81±9)％比(62±15)％],差异有统计学意义(P＜0.01).结论 家属参与认知行为疗法对2型糖尿病伴抑郁症患者的心理干预具有明显的临床效果,有助于改善患者抑郁症状.
目的 探討傢屬參與心理榦預對2型糖尿病伴抑鬱癥患者的影響.方法 選取2012年9月至2015年3月于山東省威海市文登中心醫院住院的2型糖尿病伴抑鬱癥且傢屬願意參與心理榦預的300例患者納入觀察.由專門人員分次對患者傢屬進行認知行為療法培訓,然後模擬情景攷覈.將傢屬攷覈閤格能與護士共同參與認知行為療法榦預的患者140例納入觀察組,將隻能由護士進行認知行為療法榦預的患者160例納入對照組.比較2組患者心理榦預前和榦預4週後空腹血糖、餐後2h血糖、糖化血紅蛋白、漢密頓抑鬱量錶(HAMD)評分、HAMD減分率差異.結果 心理榦預4週後,觀察組和對照組空腹血糖、餐後2h血糖、糖化血紅蛋白、HAMD評分均明顯低于榦預前[觀察組:(7.1±1.2) mmol/L比(10.6 ±3.6)mmol/L,(8.8±1.4) mmol/L比(14.8±4.0)mmol/L,(7.6±1.3)％比(9.0±1.8)％,(6.2±1.5)分比(20.5±2.8)分;觀察組:(7.4±1.0) mmol/L比(10.1±2.8) mmol/L,(9.5±1.6) mmol/L比(14.6 ±3.9) mmol/L,(7.8±1.5)％比(9.2±1.8)％,(12.8±2.3)分比(20.2±2.6)分],差異有統計學意義(P＜0.05);2組患者空腹血糖、餐後2h血糖、糖化血紅蛋白比較,差異均無統計學意義(P＞0.05);觀察組HAMD評分明顯低于對照組,HAMD量錶減分率明顯高于對照組[(81±9)％比(62±15)％],差異有統計學意義(P＜0.01).結論 傢屬參與認知行為療法對2型糖尿病伴抑鬱癥患者的心理榦預具有明顯的臨床效果,有助于改善患者抑鬱癥狀.
목적 탐토가속삼여심리간예대2형당뇨병반억욱증환자적영향.방법 선취2012년9월지2015년3월우산동성위해시문등중심의원주원적2형당뇨병반억욱증차가속원의삼여심리간예적300례환자납입관찰.유전문인원분차대환자가속진행인지행위요법배훈,연후모의정경고핵.장가속고핵합격능여호사공동삼여인지행위요법간예적환자140례납입관찰조,장지능유호사진행인지행위요법간예적환자160례납입대조조.비교2조환자심리간예전화간예4주후공복혈당、찬후2h혈당、당화혈홍단백、한밀돈억욱량표(HAMD)평분、HAMD감분솔차이.결과 심리간예4주후,관찰조화대조조공복혈당、찬후2h혈당、당화혈홍단백、HAMD평분균명현저우간예전[관찰조:(7.1±1.2) mmol/L비(10.6 ±3.6)mmol/L,(8.8±1.4) mmol/L비(14.8±4.0)mmol/L,(7.6±1.3)％비(9.0±1.8)％,(6.2±1.5)분비(20.5±2.8)분;관찰조:(7.4±1.0) mmol/L비(10.1±2.8) mmol/L,(9.5±1.6) mmol/L비(14.6 ±3.9) mmol/L,(7.8±1.5)％비(9.2±1.8)％,(12.8±2.3)분비(20.2±2.6)분],차이유통계학의의(P＜0.05);2조환자공복혈당、찬후2h혈당、당화혈홍단백비교,차이균무통계학의의(P＞0.05);관찰조HAMD평분명현저우대조조,HAMD량표감분솔명현고우대조조[(81±9)％비(62±15)％],차이유통계학의의(P＜0.01).결론 가속삼여인지행위요법대2형당뇨병반억욱증환자적심리간예구유명현적림상효과,유조우개선환자억욱증상.
Objective To explore the effect of families participating psychological intervention on type Ⅱ diabetes patients complicated with depression.Methods Totally 300 patients with type Ⅱ diabetes complicated with depression from September 2012 to March 2015 were recruited.The families of patients were trained with cognitive behavioral therapy by specialized personnel,then scenarios assessment was performed.Totally 140 families of patients passed through the scenarios assessment and these patients were assigned into observation group receiving cognitive behavioral intervention from families and nurses;the rest 160 patients were as control group received cognitive behavioral intervention only from nurses.Before and after 4 weeks of intervention,the fasting blood glucose (FBG),2 h plasma glucose (2 h PG),glycosylated hemoglobin (HbAlc),Hamilton' s depression scale (HAMD) and changes of HAMD score were compared between the two groups.2 h PG and glycosylated hemoglobin values,four weeks after re-record the value of FPG before and after intervention.Results After 4 weeks of intervention,the FBG,2 h PG,HbAlc and HAMD score were significantly reduced compared with those before intervention in observation group [(7.1 1.2) mmol/L vs (10.6 ± 3.6) mmol/L,(8.8±1.4) mmol/Lvs (14.8 ±4.0) mmol/L,(7.6 ±1.3)％ vs (9.0±1.8)％,(6.2 ±1.5) scores vs (20.5 ± 2.8) scores] and control group [(7.4 ± 1.0) mmol/L vs (10.1 ± 2.8) mmol/L,(9.5 ± 1.6) mmol/L vs (14.6±3.9) mmol/L,(7.8 ±1.5)％ vs (9.2±1.8)％,(12.8±2.3) scores vs (20.2 ±2.6) scores] (P ＜0.05).After intervention,the FBG,2 h PG and HbAlc had no significant differences between two groups,while HAMD score was significantly lower in observation group than that in control group,with higher reduction rate [(81 ±9)％ vs (62 ± 15)％] (P ＜0.01).Conclusion The effect of families participating psychological intervention can obviously reduce the patient's anxiety and depression,improve the quality of life in patients with type Ⅱ diabetes complicated with depression.
