社区健康教育对2型糖尿病患者抑郁焦虑状态及糖代谢的影响  

Effects of Health Education on Depression,Anxiety Symptoms and Glucose Metabolism among the Type 2 Diabetes Patients in Community

作　　者：于磊[1] 田原[2] 李强[2] 贺加[1] 

机构地区：[1]第三军医大学社会医学与卫生事业管理教研室,重庆400038 [2]兰州军区疾病预防控制中心,甘肃兰州730020

出　　处：《中国社会医学杂志》2009年第6期361-363,共3页Chinese Journal of Social Medicine

基　　金：重庆市软科学课题(2009CE9046)

摘　　要：目的了解社区内2型糖尿病患者的抑郁和焦虑状况,探讨健康教育对患者抑郁、焦虑状态及糖代谢的影响。方法选取重庆市沙坪坝区106例社区2型糖尿病患者,随机分为教育干预组和常规对照组,进行3个月的对照实验,运用抑郁、焦虑自评量表对患者进行心理测评,观察干预前后患者抑郁、焦虑情绪的变化及糖代谢情况。结果2型糖尿病患者中抑郁、焦虑情绪评分显著高于我国国内常模,干预结束后,教育干预组患者抑郁、焦虑情绪得到明显改善,两组患者空腹血糖和糖化血红蛋白都有明显下降,教育干预组下降幅度更大。结论健康教育可有效改善2型糖尿病患者的抑郁、焦虑情绪,改善血糖代谢,适合在社区糖尿病防治工作中应用推广。Objective To study the current situation of depression and anxiety in type 2 diabetes patients in community,and investigate the effects of health education to depression and anxiety symptoms and glucose metabolism.Methods 106 patients with type 2 diabetes were randomly selected in 2 communities of Shapingba district in Chongqing,and divided them randomly into observation group and control group.All the subjects were assessed by the Zung's self-rating depression scale(SDS),the Zung's self-rating anxiety scale(SAS) and the situation of glucose metabolism before and after the 3 months treatments.The assessments were taken for statistic analyses and comparisons.Results Significant differences have been found between the both two groups and the Norm.After the treatments,the depression and anxiety have been significantly reduced in observation group,but not in control group.The glucose metabolism significantly reduced in both two groups.when compared with control group,the observation group reduced more.Conclusions Health education can improve the depression and anxiety symptoms and glucose metabolism in type 2 diabetes patients,and should be generalized in control and prevention of diabetes in community.

关 键 词：2型糖尿病 健康教育 抑郁 焦虑 社区 

分 类 号：R473.2[医药卫生—护理学]