心理干预对2型糖尿病痛性神经病变患者焦虑、抑郁情绪的影响  

Effects of Psychotherapy Intervention on Depression and Anxiety Symptoms of Type 2 Diabetes Mellitus（DM） Patients with Painful Peripheral Neuropathy

作　　者：张帆[1] 王继辉[2] 潘淑茹[1] 谭瑞珠[1] 

机构地区：[1]中山大学附属第三医院内分泌科,广东广州510630 [2]中山大学附属第三医院内心理科,广东广州510630

出　　处：《医学新知》2010年第1期22-24,共3页New Medicine

摘　　要：目的研究心理干预对2型糖尿病痛性神经病变患者焦虑、抑郁情绪的影响。方法将60例2型糖尿病痛性神经病变伴有焦虑、抑郁情绪的患者随机分为试验组（30例）和对照组（30例）；对照组采用常规治疗，试验组在常规治疗基础上给予心理干预（每周1次，共4周）。采用焦虑自评量表（SAS）、抑郁自评量表（SDS）分别于治疗前及治疗第4周末评定患者情绪状况，同期用数字疼痛分级法（NHS）评估疼痛程度。结果治疗4周后，试验组的焦虑、抑郁情绪和疼痛程度明显低于对照组（P〈0．05）。结论心理干预可以减轻2型糖尿病痛性神经病变患者的焦虑、抑郁情绪和疼痛。Objective To study the effects of psychotherapy intervention on depression and anxiety symptoms of type 2 DM patients with painful peripheral neuropathy. Methods 60 type 2 DM patients with painful peripheral neuropathy accompanied by depression and anxiety were divided equally into con- trol group and treatment group. Control group was given conventional drugs while treatment group was giv- en both conventional drugs and psychotherapy intervention （ Qw, 4weeks）. Zung Self - Rating Depression Scale （ SDS ）, Self - Rating Anxiety Scale （ SAS ）, Numeric Pain Intensity Scale （ NPIS ） were separately used to screen depression, anxiety and pain. Results After four weeks, scores of SDS,SAS,NPIS of the treatment group were significantly lower than control group（P 〈0. 05 ）. Conclusion Psychotherapy intervention is effective not only for controlling depression and anxiety symptoms but also for improving the pain in type 2 DM patients with painful peripheral neuropathy accompanied by depression and anxiety.

关 键 词：2型糖尿病 痛性神经病变 焦虑 抑郁 心理干预 

分 类 号：R589.1[医药卫生—内分泌]