健康干预对2型糖尿病伴抑郁症患者的影响  

Effect of health interventions on diabetes patients with depression

作　　者：张赟[1] 段玉红[1] 张田田[2] 

机构地区：[1]陕西中医学院附属医院内分泌科,陕西咸阳712000 [2]陕西中医学院附属医院老年病科,陕西咸阳712000

出　　处：《河北中医》2015年第1期117-119,共3页Hebei Journal of Traditional Chinese Medicine

摘　　要：目的探讨健康干预对2型糖尿病伴抑郁症患者的影响。方法将80例2型糖尿病伴抑郁症患者随机分为2组,对照组40例实施糖尿病知识和抑郁症健康知识宣教,干预组40例实施健康干预。连续观察4周,比较2组干预前后空腹血糖(FPG)、餐后2 h血糖(2 h PG)、汉密尔顿抑郁量表(HAMD)和总体幸福感量表(GWB)评分变化。结果干预后干预组FPG、2 h PG水平及HAMD、GWB评分均较本组干预前及对照组干预后改善(P<0.05)。结论健康干预能提高2型糖尿病伴抑郁症患者自我管理能力,控制血糖及抑郁情绪,提高患者生活质量。Objective To explore the influence of health interventions on the diabetes patients with depression with a view to improve the life quality of patients. Methods 80 diabetes patients with depression were randomly divided into two groups. 40 cases in control group received diabetes and depression health knowledge propaganda. 40 cases in treatment group received health interventions （systematic nursing education, psychological intervention, strengthen family and community support）. Fasting plasma glucose （FPG） ,2 h postprandial glucose （2 hPG） , Hamilton Depression Scale （HAMD） and General Well - being Schedule （GWB） points of two groups before and after the intervention were compared after continuous observation for four weeks. Results The decrease of levels of FPG,2 hPG in trial group were more significant than those of the control group （ P 〈 O. 05 ） after the intervention. After the intervention, all point in trial group were improved more significantly （ P 〈 0.05 ）. Condusion Health interventions can enhance self - management skills of diabetes patients with depression, control the blood sugar level and improve depressive symptoms, thereby improve the life quality of patients.

关 键 词：糖尿病 抑郁症 生活质量 健康教育 

分 类 号：R587.29[医药卫生—内分泌]