结构和心理授权健康教育模式对合并抑郁的老年2型糖尿病患者血糖、心理状态及自我效能感的影响  

Effects of structure and psychologically empowered health education on blood glucose level,adverse mental state and self-efficacy in elderly type 2 diabetes mellitus patients with depression

作　　者：杨丹[1] 张艳[1] 惠蓉[2] 王杨[1] 张哲[1] YANG Dan;ZHANG Yan;HUI Rong(Department of Endocrinology,Shoanci Provincial People's Hospital,Xi'an 710068,China)

机构地区：[1]陕西省人民医院内分泌科,西安71000 [2]陕西省人民医院党办

出　　处：《国际精神病学杂志》2024年第1期314-317,共4页Journal Of International Psychiatry

基　　金：陕西省重点研发计划一般项目——社会发展领域(编号:2022SF-007);陕西省人民医院科技发展孵化基金(编号:2022HL-03)。

摘　　要：目的探究老年2型糖尿病合并抑郁患者应用结构和心理授权健康教育模式对血糖水平、不良心理状态及自我效能感的影响。方法择取我院于2022年8月~2023年1月期间收治的102例合并抑郁的老年2型糖尿病患者作为研究对象,以抽签法进行分组。对照组51例给予常规健康教育,实验组51例给予结构和心理授权健康教育模式。4周后,对比两组患者血糖水平、不良心理状态及自我效能感。结果干预后实验组患者空腹血糖、餐后2h血糖、糖化血红蛋白水平均低于对照组(P<0.05);实验组患者焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于对照组(P<0.05);实验组患者自我决策、自我减压、正性态度分值均高于对照组(P<0.05)。结论结构和心理授权健康教育模式能够有效降低合并抑郁的老年2型糖尿病患者的血糖水平,改善不良心理状态及自我效能感。Objective To explore the effects of structure and psychological empowerment health education on blood glucose level,adverse mental state and self-efficacy in elderly patients with type 2 diabetes mellitus complicated with depression.Methods A total of 102 elderly patients with type 2 diabetes mellitus and depression admitted to our hospital from May 2021 to October 2022 were selected as research objects,and divided into groups by lottery method.Fifty-one cases in the control group were given routine health education,and 51 cases in the observation group were given structural and psychological empowerment health education mode.After 4 weeks,blood glucose levels,adverse psychological status and self-efficacy were compared between the two groups.Results Fasting blood glucose,2h postprandial blood glucose and glycosylated hemoglobin levels in observation group were lower than those in control group(P<0.05).The scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in observation group were lower than those in control group(P<0.05).The scores of self-decision making,self-decompression and positive attitude in observation group were higher than those in control group(P<0.05).Conclusion The structural and psychological empowerment health education model can effectively reduce the blood glucose level in elderly type 2 diabetes mellitus patients with depression,improve their adverse mental state and self-efficacy.

关 键 词：老年2型糖尿病 抑郁 结构和心理授权健康教育模式 

分 类 号：R749[医药卫生—神经病学与精神病学]