糖尿病患者心理状态调查分析及心理干预  

The Survey and Analysis of Psychological Status of the Patients with Diabetes Mellitus and the Comprehensive Psychological Intervention

作　　者：白昆霞[1] 邵兵[1] 赖朝蓬[1] 谭丽君[1] 

机构地区：[1]广东省清远市人民医院暨南大学医学院第五附属医院,广东清远511500

出　　处：《当代护士（中旬刊）》2007年第1期3-5,共3页Modern Nurse

摘　　要：目的探讨糖尿病患者心理状态,为心理评估和心理干预提供依据。方法采用Zung’s抑郁自评量表(SDS)、焦虑自评量表(SAS)和症状自评量表(SCL-90)评定96例糖尿病患者的心理状态。在常规治疗、健康教育与心理干预3个月后,应用SDS、SAS和SCL-90再次进行评测。并与国内常模比较。结果糖尿病患者SDS、SAS总分及SCL-90中躯体化、人际关系、抑郁、焦虑、恐惧等因子分值明显高于国内常模(p<0.05或p<0.01)。经过健康教育与综合性心理干预后糖尿病患者的SDS、SAS总分及SCL-90中躯体化、抑郁及焦虑、等因子分值显著降低(p<0.05或p<0.01)。结论糖尿病患者存在抑郁、焦虑、躯体化症状群等负性情感;健康教育与综合性心理干预能缓解和改善抑郁、焦虑等负性情感。Objective：To survey and analyse the psychological status of the patients with diabetes mellitus,in order to provide basis for psychological intervention and evaluation of the patients with diabetes mellitus. Methods：Self-rating Anxiety Scale（SAS） and self-rating Depressive Scale（SDS） and SCL-90 were administered to 96 patients,and the patients were assessed again after receiving routine treatment with health education and comprehensive psychology interference three months later. Results： The scores of the SDS and SAS and the indices of SCL-90 including somatical change, interpersonal relationship, depression, anxiety and fear were significantly higher than that of the domestic routine model（p〈0. 05 or p〈0. 01）. And the scores of the SDS and SAS and the indices of SCL-90 including somatical change, depression and anxiety were dramatically lower after health education and comprehensive psychology intervention than before the intervention（p〈0. 05 or p〈0. 01）. Conclusion：Anxiety symptoms,depressive symptoms and somatical change symptoms are commonly accompanied in diabetes patients, and health education and comprehensive psychology intervention can improve mood symptoms.

关 键 词：糖尿病 焦虑 抑郁 健康教育 心理干预 

分 类 号：R473.5[医药卫生—护理学]