家属参与心理干预对2型糖尿病伴抑郁症患者的影响  

Effect of families participating psychological intervention on type Ⅱ diabetes patients complicated with depression

作　　者：尹爱良[1] 马玉凤[1] 肖春光[1] 李晨[1] 王昌荣[1] 

机构地区：[1]山东省威海市文登中心医院护理部,264400

出　　处：《中国医药》2015年第10期1552-1554,共3页China Medicine

摘　　要：目的 探讨家属参与心理干预对2型糖尿病伴抑郁症患者的影响.方法 选取2012年9月至2015年3月于山东省威海市文登中心医院住院的2型糖尿病伴抑郁症且家属愿意参与心理干预的300例患者纳入观察.由专门人员分次对患者家属进行认知行为疗法培训,然后模拟情景考核.将家属考核合格能与护士共同参与认知行为疗法干预的患者140例纳入观察组,将只能由护士进行认知行为疗法干预的患者160例纳入对照组.比较2组患者心理干预前和干预4周后空腹血糖、餐后2h血糖、糖化血红蛋白、汉密顿抑郁量表（HAMD）评分、HAMD减分率差异.结果 心理干预4周后,观察组和对照组空腹血糖、餐后2h血糖、糖化血红蛋白、HAMD评分均明显低于干预前[观察组：（7.1±1.2） mmol/L比（10.6 ±3.6）mmol/L,（8.8±1.4） mmol/L比（14.8±4.0）mmol/L,（7.6±1.3）％比（9.0±1.8）％,（6.2±1.5）分比（20.5±2.8）分;观察组：（7.4±1.0） mmol/L比（10.1±2.8） mmol/L,（9.5±1.6） mmol/L比（14.6 ±3.9） mmol/L,（7.8±1.5）％比（9.2±1.8）％,（12.8±2.3）分比（20.2±2.6）分],差异有统计学意义（P＜0.05）;2组患者空腹血糖、餐后2h血糖、糖化血红蛋白比较,差异均无统计学意义（P＞0.05）;观察组HAMD评分明显低于对照组,HAMD量表减分率明显高于对照组[（81±9）％比（62±15）％],差异有统计学意义（P＜0.01）.结论 家属参与认知行为疗法对2型糖尿病伴抑郁症患者的心理干预具有明显的临床效果,有助于改善患者抑郁症状.Objective To explore the effect of families participating psychological intervention on type Ⅱ diabetes patients complicated with depression.Methods Totally 300 patients with type Ⅱ diabetes complicated with depression from September 2012 to March 2015 were recruited.The families of patients were trained with cognitive behavioral therapy by specialized personnel,then scenarios assessment was performed.Totally 140 families of patients passed through the scenarios assessment and these patients were assigned into observation group receiving cognitive behavioral intervention from families and nurses;the rest 160 patients were as control group received cognitive behavioral intervention only from nurses.Before and after 4 weeks of intervention,the fasting blood glucose （FBG）,2 h plasma glucose （2 h PG）,glycosylated hemoglobin （HbAlc）,Hamilton＇ s depression scale （HAMD） and changes of HAMD score were compared between the two groups.2 h PG and glycosylated hemoglobin values,four weeks after re-record the value of FPG before and after intervention.Results After 4 weeks of intervention,the FBG,2 h PG,HbAlc and HAMD score were significantly reduced compared with those before intervention in observation group [（7.1 1.2） mmol/L vs （10.6 ± 3.6） mmol/L,（8.8±1.4） mmol/Lvs （14.8 ±4.0） mmol/L,（7.6 ±1.3）% vs （9.0±1.8）%,（6.2 ±1.5） scores vs （20.5 ± 2.8） scores] and control group [（7.4 ± 1.0） mmol/L vs （10.1 ± 2.8） mmol/L,（9.5 ± 1.6） mmol/L vs （14.6±3.9） mmol/L,（7.8 ±1.5）% vs （9.2±1.8）%,（12.8±2.3） scores vs （20.2 ±2.6） scores] （P 〈0.05）.After intervention,the FBG,2 h PG and HbAlc had no significant differences between two groups,while HAMD score was significantly lower in observation group than that in control group,with higher reduction rate [（81 ±9）% vs （62 ± 15）%] （P 〈0.01）.Conclusion The effect of families participating psychological intervention can obviously reduce the patient＇s anxiety and depression,imp

关 键 词：糖尿病 2型 抑郁症 家属 认知疗法 

分 类 号：R587.1[医药卫生—内分泌]