护理研究
護理研究
호리연구
Chinese Nursing Research
2015年
30期
3757-3760
,共4页
蒋菊芳%张紫娟%许玉芳%蔡燕
蔣菊芳%張紫娟%許玉芳%蔡燕
장국방%장자연%허옥방%채연
糖尿病%抑郁症%自我管理%延续性护理%心理状况%生存质量
糖尿病%抑鬱癥%自我管理%延續性護理%心理狀況%生存質量
당뇨병%억욱증%자아관리%연속성호리%심리상황%생존질량
diabetes mellitus%depression%self management%continuity of care%psychological status%quality of lif e
[目的]探讨延续性自我管理教育在糖尿病合并抑郁症病人康复中的应用效果。[方法]选择糖尿病合并抑郁症的病人71例随机分为干预组和对照组，对照组接受常规健康教育，干预组病人进行延续性自我管理教育。分别于入院时和出院后6个月、12个月采用疾病知识掌握情况调查表、抑郁自评量表（SDS）、汉密顿抑郁量表（HAMD）和生存质量测定量表简表（WHO QOL BREF）对病人进行测评，并采用全自动生化分析仪测定病人空腹血糖和餐后2 h血糖。[结果]出院后6个月和出院后12个月，干预组病人疾病知识掌握情况得分高于对照组，SDS评分和HAMD评分低于对照组，空腹血糖和餐后2 h血糖低于对照组；出院后12个月，干预组生存质量评分高于对照组，差异均有统计学意义（P＜0．05）。[结论]延续性自我管理教育有助于帮助病人掌握健康知识，改善糖代谢及抑郁情绪，提高生存质量。
[目的]探討延續性自我管理教育在糖尿病閤併抑鬱癥病人康複中的應用效果。[方法]選擇糖尿病閤併抑鬱癥的病人71例隨機分為榦預組和對照組，對照組接受常規健康教育，榦預組病人進行延續性自我管理教育。分彆于入院時和齣院後6箇月、12箇月採用疾病知識掌握情況調查錶、抑鬱自評量錶（SDS）、漢密頓抑鬱量錶（HAMD）和生存質量測定量錶簡錶（WHO QOL BREF）對病人進行測評，併採用全自動生化分析儀測定病人空腹血糖和餐後2 h血糖。[結果]齣院後6箇月和齣院後12箇月，榦預組病人疾病知識掌握情況得分高于對照組，SDS評分和HAMD評分低于對照組，空腹血糖和餐後2 h血糖低于對照組；齣院後12箇月，榦預組生存質量評分高于對照組，差異均有統計學意義（P＜0．05）。[結論]延續性自我管理教育有助于幫助病人掌握健康知識，改善糖代謝及抑鬱情緒，提高生存質量。
[목적]탐토연속성자아관리교육재당뇨병합병억욱증병인강복중적응용효과。[방법]선택당뇨병합병억욱증적병인71례수궤분위간예조화대조조，대조조접수상규건강교육，간예조병인진행연속성자아관리교육。분별우입원시화출원후6개월、12개월채용질병지식장악정황조사표、억욱자평량표（SDS）、한밀돈억욱량표（HAMD）화생존질량측정량표간표（WHO QOL BREF）대병인진행측평，병채용전자동생화분석의측정병인공복혈당화찬후2 h혈당。[결과]출원후6개월화출원후12개월，간예조병인질병지식장악정황득분고우대조조，SDS평분화HAMD평분저우대조조，공복혈당화찬후2 h혈당저우대조조；출원후12개월，간예조생존질량평분고우대조조，차이균유통계학의의（P＜0．05）。[결론]연속성자아관리교육유조우방조병인장악건강지식，개선당대사급억욱정서，제고생존질량。
Objective:To probe into the application effect of self management education in recovery of diabetic pa‐tients with depression .Methods:A total of 71 diabetic patients with depression were selected and were divide in‐to the patients in intervention group and control group .The patients in control group received the routine health education ,while the intervention group received the self management education .Then determined and reviewed the patients by the disease know ledge master status questionnaire ,depression self rating scale (SDS) and Hamil‐ton Depression Scale(HAMD) and quality of life for the determination of the amount and short form (WHO QOL BREF) respectively on admission and 6 months and 12 months after discharged ,and measured the pa‐tients’fasting blood glucose and postprandial 2 h blood glucose by the automatic biochemistry analyzer .Results:6 months and 12 months after discharge ,the patients’knowledge mastery score in the intervention group were higher than that in the control group ,the SDS score and HAMD score were lower than those of the control group ,the fasting blood glucose and postprandial 2 h blood glucose were lower than those of the control group . 12 months after discharge ,the patients’quality of life in the intervention group was higher than that in the con‐trol group ,the difference was all statistically significant (P<0 .05) .Conclusion:The continuing self manage‐ment education can help patients master the health knowledge ,improve glucose metabolism and depression ,and improve the quality of life .
