老年糖尿病患者焦虑抑郁情绪分析及其干预  

The study on anxiety and depression in aging patients with diabetes mellitus

作　　者：汪敏[1] 郑侠[1] 温雷明[1] 胡淑霞[1] 

机构地区：[1]徐州医学院附属医院老年病科,江苏徐州221000

出　　处：《国际护理学杂志》2008年第7期743-744,共2页international journal of nursing

摘　　要：目的分析老年糖尿病患者焦虑、抑郁的发病原因，并观察综合干预的效果。方法采用Zung焦虑自评量表（SAS）及抑郁自评量表（SDS）对72例老年糖尿病患者进行问卷调查，然后进行为期8w的药物和心理综合干预，再进行复查。结果老年糖尿病患者存在不同程度的抑郁及焦虑，经过8w综合干预后，SAS及SDS评分分别由48．37±8．79和53．49±9．28降为35．34±7．09和43．07±7．98（P〈0．01），焦虑、抑郁发生率分别由48．6％和45．8％降为22．2％和18．1％（P〈0．001）。结论对老年糖尿病患者及家属开展糖尿病教育及相应的心理或药物治疗，可帮助老年患者恢复自信心，提高老年糖尿病患者生活质量，有利于老年患者的康复。Objective To investigate the frequency and therapeutic effect of anxiety and depression in patients with diabetes mellitus （DM） . Methods Seventy - two aging patients with DM were examined and analyzed with Zung self - rating anxiety scale （SAS） and self - rating depression scale （ SDS）, and the aging patients were reinterviewed after receiving medicinal （ anti - anxietic drug） and psychological intervention for 8 weeks. Results Aging patients with DM had marked anxiety and - depression symptoms, and after general treatment, the scores of SAS and SDS were significantly reduced （48. 37 ± 8. 79 vs 35.34 ± 7. 09 , 53.49 ± 9.28 vs 43. 07 ±7.98, P 〈 0. 01 ） . The frequency of anxiety and depression were remarkably decreased （48.6% vs 22. 2%, 45. 8% vs 18. 1%, P 〈 0. 001 ） . Conclusion The frequency of anxiety and depression in patients with DM is very high, medicinal and psychological therapy is effective and useful to the aging patients.

关 键 词：糖尿病 焦虑 抑郁 干预 

分 类 号：R587[医药卫生—内分泌]