摘要
目的了解社区内2型糖尿病(T2DM)患者对使用胰岛素(INS)抑郁和焦虑的状况,探讨认知疗法干预对焦虑、抑郁情感的影响。方法将使用INS的患者分为对照组和干预组,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对其进行评定,认知疗法干预6周后,再次对两组进行评定。结果 T2DM患者中使用INS抑郁、焦虑情绪评分显著高于我国国内常模;干预结束后,干预组患者抑郁、焦虑情绪得到明显改善,干预后与干预前比较,SAS、SDS评分有统计学意义(P<0.05)。结论社区内T2DM患者对使用INS普遍存在心理障碍,社区干预是必需的。认知疗法干预可以减轻患者的焦虑、抑郁症状,纠正患者的认知曲解,提高治疗依从性及治疗效果。
Objective Investigate the state of depression and anxiety in type 2 diabetes accepted insulin-treatment in community, as well as observation on the effect of intervention for the patients before and after cognition-based intervention. Methods A investigation by general practitioners was carried out among 231 cases with diabetes, all the subjects were assessed by the Zung,s self-rating depression scale（SDS）,the Zung,s self-rating anxiety scale（SAS）, 71 patients accepted insulin-treatment were randomly divided into intervention group（n=36）and control group（n=35）, the two groups were compared by x2 test and t test.Results Patients with diabetes keep a mental dysfunction to insulin widespreadely. After 6 weeks of cognition-based intervention, self-rating scale values of anxiety and depression were significantly lower in the intervention group than that in the control group（P0.05）.Conclusion The mental factor plays an important role in diabetes,the therapy of cognition-based was effective to depressive and anxious symptoms. It is very necessary to strengthen psychological education and eliminate misunderstand of the patients to insulin-treatment.
出处
《中国实用医药》
2011年第2期7-8,共2页
China Practical Medicine
关键词
糖尿病胰岛素应用
认知干预
抑郁
焦虑
社区
Type 2 diabetes accepted insulin-treatment
Cognition-based intervention therapy
Depression
Anxiety
Community
