摘要
目的了解2型糖尿病患者的心理健康状况，探讨心理干预对其焦虑抑郁情绪的影响。方法将100例糖尿病患者随机分为治疗组和对照组各50例，两组均接受糖尿病常规治疗，治疗组联合心理干预，观察4w。于治疗前及治疗1w、2w、3w、4w末采用症状自评量表评定心理健康状况，采用汉密顿焦虑量表、汉密顿抑郁量表评定焦虑抑郁状况及心理干预效果，同时检测空腹血糖的变化。结果2型糖尿病患者存在不同程度的心理问题，治疗后两组症状自评量表、汉密顿焦虑量表、汉密顿抑郁量表评分及空腹血糖测定均较治疗前显著下降（P〈0．01），但治疗组各时段均较对照组下降显著（P〈0．01～0．05）。结论2型糖病患者存在不同程度的心理问题，心理干预能显著缓解其焦虑抑郁情绪，提高原发病疗效，改善生活质量。
Objective To understand the mental health status of type 2 diabetics and explore the effects of mental intervention on their anxiety-depression emotions. Methods 100 diabetics were randomly divided into treatment and congtrol group（ each n=50）, both groups received diabetic routine therapy, and treatment group was plus mental intervention for 4 weeks. Before treatment and at the ends of the 1st, 2nd, 3rd and 4th week treatment, mental health status was assessed with the Symptom Checklist-90（SCL-90）, anxiety-depression status and effectiveness with the Hamilton Anxiety Scale（HAMA） and the Hamilton Depression Scale （HAMD） and changes of fasting blood glucose detected at the ame time. Results Accord- ing to the SCL-90, type 2 diabetics had psycho-problems in varying degree, after treatment scores of the SCL-90, the HAMA and HAMD as well as fasting blood glucose lowered more significantly compared with pre-treatment（P〈0.01） and in the treatment than in the control group （ P〈0. 01- 0. 05 ）. Conclusion Type 2 diabetics have psycho-problems in varying degree, mental intervention can significantly relieve patients＇ anxiety-depression emotions, raise curative effect and improve quality of life.
出处
《临床心身疾病杂志》
CAS
2008年第5期418-419,共2页
Journal of Clinical Psychosomatic Diseases
关键词
2型糖尿病
焦虑
抑郁
心理问题
心理干预
Type 2 diabetes
anxiety
depression
psycho-problems
mental intervention
