延续性自我管理教育在糖尿病合并抑郁症病人康复中的应用  

Application of continuity of self management education in recovery of diabetic patients with depression

作　　者：蒋菊芳[1] 张紫娟[1] 许玉芳[1] 蔡燕[1] 

机构地区：[1]南京医科大学附属无锡市精神卫生中心

出　　处：《护理研究（下旬版）》2015年第10期3757-3760,共4页Chinese Nursing Researsh

摘　　要：[目的]探讨延续性自我管理教育在糖尿病合并抑郁症病人康复中的应用效果。[方法]选择糖尿病合并抑郁症的病人71例随机分为干预组和对照组,对照组接受常规健康教育,干预组病人进行延续性自我管理教育。分别于入院时和出院后6个月、12个月采用疾病知识掌握情况调查表、抑郁自评量表(SDS)、汉密顿抑郁量表(HAMD)和生存质量测定量表简表(WHO QOL-BREF)对病人进行测评,并采用全自动生化分析仪测定病人空腹血糖和餐后2h血糖。[结果]出院后6个月和出院后12个月,干预组病人疾病知识掌握情况得分高于对照组,SDS评分和HAMD评分低于对照组,空腹血糖和餐后2h血糖低于对照组;出院后12个月,干预组生存质量评分高于对照组,差异均有统计学意义(P<0.05)。[结论]延续性自我管理教育有助于帮助病人掌握健康知识,改善糖代谢及抑郁情绪,提高生存质量。Objective:To probe into the application effect of self management education in recovery of diabetic patients with depression.Methods:A total of 71 diabetic patients with depression were selected and were divide into the patients in intervention group and control group.The patients in control group received the routine health education,while the intervention group received the self management education.Then determined and reviewed the patients by the disease knowledge master status questionnaire,depression self rating scale(SDS)and Hamilton Depression Scale(HAMD)and quality of life for the determination of the amount and short form(WHO QOL-BREF)respectively on admission and 6 months and 12 months after discharged,and measured the patients' fasting blood glucose and postprandial 2hblood glucose by the automatic biochemistry analyzer.Results:6months and 12 months after discharge,the patients' knowledge mastery score in the intervention group were higher than that in the control group,the SDS score and HAMD score were lower than those of the control group,the fasting blood glucose and postprandial 2hblood glucose were lower than those of the control group.12 months after discharge,the patients' quality of life in the intervention group was higher than that in the control group,the difference was all statistically significant(P<0.05).Conclusion:The continuing self management education can help patients master the health knowledge,improve glucose metabolism and depression,and improve the quality of life.

关 键 词：糖尿病 抑郁症 自我管理 延续性护理 心理状况 生存质量 

分 类 号：R473.5[医药卫生—护理学]