糖尿病教育对Ⅱ型糖尿病患者抑郁症状影响.docVIP

糖尿病教育对Ⅱ型糖尿病患者抑郁症状影响 糖尿病教育对Ⅱ型糖尿病患者抑郁症状的影响 更新日期：2009-11-10 点击： 缪小萍　陈虹　姚正元 　　【摘　要】　目的:了解Ⅱ型糖尿病患者抑郁情况并探讨糖尿病教育及心理干预等对抑郁症状的影响。方法:应用SDS抑郁自评量表及HAMD抑郁量表对60例Ⅱ型糖尿病患者进行测评,同时和30例正常人群对照。60例Ⅱ型糖尿病患者经三个月糖尿病教育及心理干预后再行测评。结果:糖尿病组SDS和HRSD量表测评,抑郁情况明显高于正常人群组。经糖经病教育、心理干预等后,抑郁症状可明显改善且糖代谢控制更好。结论:糖尿病患者常伴有抑郁症状,糖尿病教育及心理干预等可改善糖代谢及抑郁症状。 　　【关键词】　Ⅱ型糖尿病　糖尿病教育　心理干预　抑郁 Effects of Diabetes Education on Depressive Symptoms of Type ⅡDiabetes Patients Miao Xiaoping,Chen Hong Yao Zhengyuan Department of Endocrinology,the First Hospital of Yangzhou, Jiangsu Province,China 225002 【Abstract】　Objective:to determine the depressive symptoms in patients with type Ⅱ diabetes and to investigate the effects of diabetes education and psychological intervention on these symptoms.Method:Self-rating Depression Scale(SDS) and Hamilton Rating Scale for Depression(HAMD)were administered to 60 patients with type Ⅱ diabetes and 30 normal controls,and the patients were assessed again after receiving diabetes education and psychological intervention for 3 months.Results:The depressive scores of SDS and HAMD in diabetes group were significantly higher than those in normal group.After diabetes education and psychological intervention,depressive symptoms and glucose metabolism were significantly improved.Conclusion:Depressive symptoms are commonly accompanied in type Ⅱ diabetes patients,and diabetes education and psychological intervention can improve glucose metabolism and depressive symptoms and deserve be recommended. 　　【Key words】　type Ⅱ diabetes　　diabetes education　　psychological intervention　　depression 　　本文对糖尿病患者所合并的抑郁状态进行了观察,并应用糖尿病教育、心理干预及药物进行干预,现报告如下: 对象和方法 　　对象　　在社区接受糖尿病教育的Ⅱ型糖尿病患者中(均符合WHO1985年诊断标准),选择60例,均排除糖尿病急性并发症及脑血管病变、心肌梗塞等,肝、肾功能正常。其中男性26例,女性34例,平均年龄为58.6±2.4岁。另选择同地区健康人群30例作为对照,年龄、性别、体重指数等和糖尿病组相配对。 　　方法　　1.应用Zung′s抑郁自评量表(SDS)及汉密顿抑郁量表(HRSD24项)［1］对两组人群进行测评,测评由专职人员严格按规定完成。另外,对糖尿病合并抑郁状态患者所存在的躯体症状进行分析。 　　2.对糖尿病患者所存在的抑郁症状进行干预,具体内容包括糖尿病基础知识宣教、饮食控制、运动锻炼、药物应用及调整,低血糖防治及自我监测等。心理干预主要步骤包括(1)耐心倾听病人述说各种症状;(2)通过具体分析和解释