延续性自我管理教育在糖尿病合并抑郁症患者康复中的应用效果  

Application of continuing 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精神卫生中心,214151

出　　处：《中华现代护理杂志》2016年第4期493-496,共4页Chinese Journal of Modern Nursing

基　　金：无锡市医院管理中心2015年度医学科研面上项目(YGZXM1558)Found program:Medical Scientific Research Project in 2015 of Management Center of Wuxi Hospital

摘　　要：目的：探讨延续性自我管理教育对糖尿病合并抑郁症患者康复中的作用。方法选择糖尿病合并抑郁患者75例,按照居住地分为干预组37例和对照组38例,对照组接受一般健康教育,干预组在此基础上实施综合自我管理教育,出院后随访12个月。采用疾病相关知识问卷、抑郁自评量表（SDS）、汉密尔顿抑郁量表（HAMD）、生存质量测定量表（WHOQOL-BREF）比较两组干预效果和血糖控制情况。结果出院后6,12个月,干预组患者疾病知识得分高于对照组,差异有统计学意义（ P 〈0.01）；干预组患者SDS、HAMD评分、空腹血糖、餐后2 h血糖均低于对照组,差异有统计学意义（ P〈0.01）；干预组患者WHOQOL-BREF量表生理领域、心理领域、社会关系及环境领域维度得分均高于对照组,差异有统计学意义（P〈0.01）。结论延续性自我管理教育有助于提高患者健康知识水平,改善糖代谢及抑郁症状,提高患者生存质量。Objective To explore the effects of continuing self-management education in recovery of diabetic patients with depression. Methods A total of 75 diabetic patients with depression were selected and divided into intervention group （37 cases） and control group （38 cases） by place of residence. The two groups received routine health education, while the patients of intervention group additionally received continuing self-management education. The patients in two groups were followed up for 12 months. The intervention effects and blood sugar control of two groups were evaluated by the disease knowledge questionnaire, self-rating depressive scale （ SDS ） and Hamilton depression rating scale （ HAMD ） and WHO quality of life-BREF （ WHOQOL-BREF） questionnaire. Results At the end of 6th month and 12th month after discharge from hospital, the score of disease knowledge in the intervention group was higher than that in the control group. The SDS score, HAMD score, fasting blood glucose and 2 h postprandial blood glucose in the intervention group were lower than those in the control group. The psychological, physical, social and environmental scores of WHOQOL-BREF in the intervention group were higher than those in the control group. The differences between two groups were statistically significant （P〈0. 01）. Conclusions The continuing self-management education can increase the patients′health knowledge levels, improve the glucose metabolism, alleviate the symptoms of depression and improve the quality of life.

关 键 词：糖尿病 抑郁症 自我护理 延续护理 心理状况 生存质量 

分 类 号：R473.5[医药卫生—护理学]