摘要
目的:研究个体、家庭、群体相结合的社区综合干预措施对社区2型糖尿病患者社会支持、抑郁状况的影响,探讨适合城镇社区2型糖尿病患者的康复模式。方法:将自愿加入的社区2型糖尿病患者按社区随机分为干预组和对照组,干预组90例和对照组85例,对干预组进行社区综合干预,对照组为传统社区随访。干预前后应用肖水源的"社会支持评定量表"和抑郁自评量表分别测定社会支持状况和抑郁状况。结果:干预后,两组客观支持、主观支持、支持利用度及社会支持总分差异有统计学意义(P<0.01),干预组得分较高。两组干预前后抑郁评分差值差异有统计学意义(P<0.01),干预组经过干预后抑郁评分降低较对照组更为显著,即经过干预,干预组社会支持明显提高,抑郁状况明显改善,均明显优于对照组(P<0.01)。结论:社区2型糖尿病患者综合干预模式切实可行,能有效提高2型糖尿病患者的社会支持,并能改善患者的抑郁状况,提高糖尿病患者的生活质量。
Objective：To explore the effect of the comprehensive community intervention involving individual,family and collectivity on social support and depression of type 2 diabetes in the community.Methods：The voluntary patients were randomly divided into intervention group（n=90）and control group（n=85）.The intervention group were offered comprehensive interventions,and the control group were offered follow-up visits,without any intervention.By means of Social Support Rating Scale by XIAO Shui-yuan and Zung＇s Self-rating Depression Scale,an assessment was made of the social support and depression of the two groups.Results：After intervention,the social support and the situation of depression of type 2 diabetes were significantly better in the intervention group than those in the control group（P0.01）.Conclusion：The comprehensive intervention model can improve the social support and depression of type 2 diabetes.
关键词
2型糖尿病患者
社会支持
抑郁
社区
综合干预
type 2 diabetes
social support
Depression
Community
Comprehensive intervention
