早期心理干预对初发糖尿病患者的疗效研究  

Study of efficacy on early psychological intervention on patients with incipient diabetic

作　　者：高永毅[1] 梁颂游[1] 梁干雄[1] 吴伟英[1] 

机构地区：[1]广东省中山市人民医院内分泌科,广东中山528400

出　　处：《中国医药导报》2012年第19期132-134,共3页China Medical Herald

基　　金：广东省中山市科技基金项目(编号:J2011027)

摘　　要：目的探讨早期心理干预对糖尿病患者心理及疗效的影响。方法将我院收治并诊断为初发的2型糖尿病的68例患者随机分为干预组和对照组，每组34例，两组患者均采用常规的降糖药物治疗，同时干预组患者给予每周1次的心理干预治疗，每次时间20～30min，疗程6周，治疗前后分别应用Zung自评抑郁量表、Zung自评焦虑量表、症状自评量表（SCL-90）对患者进行评估，并测定两组患者治疗前后空腹血糖（FBG）变化情况。结果①治疗前两组患者Zung自评抑郁量表、Zung自评焦虑量表的总评分比较，差异无统计学意义（P〉0．05）；治疗后干预组患者Zung自评抑郁量表、Zung自评焦虑量表的总评分与治疗前及对照组比较有所降低，差异有统计学意义（P〈0．05）。②与治疗前比较，治疗后干预组患者SCL-90总均分及各项评分均明显降低，差异有统计学意义（P〈0．05）。③治疗前干预组FBG为（12．1±2．8）mmol／L，对照组FBG为（11．9±2．9）mmol／L，两组比较差异无统计学意义（P〉0．05）：治疗后干预组FBG为（8．0±2．O）mmol／L，对照组FBG为（8．9±1．8）mmol／L，两组比较差异有统计学意义（P〈0．05）。结论初发糖尿病患者心理健康状况下降，对患者进行早期心理干预有助于改善患者抑郁、焦虑情况，提高治疗效果。Objective To investigate the efficacy on early psychological intervention of patients with incipient diabetic. Methods 68 patients with incipient type 2 diabetic in our hospital were randomly divided into intervention group （n = 34 cases） and control group （n= 34 cases）, two groups were treated with conventional hypoglyeemic drug, intervention group patients were given psychological intervention each a week, each time 20-30 min, for six weeks, Zung＇s self-rating depression scale, Zung＇s self-rating anxiety Scale, the symptom rating Scale （SCL-90） were used before and after treatment, and determination of the two groups of patients before and after the fasting blood glucose （FBG） changes. Results ①Before the treatment, there were no significant difference in Zung＇s self-rating depression scale, Zung＇s self rating anxiety scale total average of patients between two groups （P 〉 0.05）; compared with control group and before treatment, total average score of Zung＇s Self- Rating Depression Scale and Zung＇s self rating anxiety scale of patients in the intervention group was decreased after treatment, there was significant different （/9 〈 0.05）. ②Compared with before treatment, the SCL-90 total average score and the scores of patients in the intervention group were significantly decreased after treatment （P 〈 0.05）. ③Before treatment, the intervention group FBG was （12.1±2.8） mmol/L, the control group FBG was （11.9±2.9） mmol/L, there was no significant different between the two groups （P 〉 0.05）; after treatment, the intervention group FBG was （8.0±2.0） mmol/L, the control group FBG was （8.9±l.8）mmol/L, there was significant difference between the two groups （P 〈 0.05）. Conclusion Early psychological intervention for patients can help to improve the patients with depression, anxiety situation, and improve the therapeutic effect.

关 键 词：糖尿病 心理干预 抑郁 焦虑 

分 类 号：R578.1[医药卫生—消化系统]