家庭心理干预对2型糖尿病合并焦虑患者血糖控制的影响.docVIP

精品论文 参考文献 家庭心理干预对2型糖尿病合并焦虑患者血糖控制的影响 王红英 马丽 　　【摘 要】 目的 探讨家庭医生模式下家庭心理干预对2型糖尿病合并焦虑患者血糖控制的影响。方法 随机抽取已确诊2型糖尿病患者100例，随机分为对照组和干预组，每组50例，干预前后用HAMA焦虑量表测定评判患者心理情况，患者调查表了解患者基本情况，两组均进行糖尿病常规管理，干预组联合心理干预，比较治疗前后两组空腹、早餐后2小时血糖、糖化血红蛋白及焦虑指数变化情况。结果 经干预后，干预组与对照组的焦虑得分、空腹血糖、糖化血红蛋白、餐后2小时血糖明显低于对照组，两组比较差异均有统计学意义（Plt;0.05）。结论 家庭医生心理干预可以有效缓解患者的焦虑情绪，并有效改善患者的血糖情况。 　　【关键词】 2型糖尿病； 焦虑； 心理干预 　　 　　【Abstract】 Objective to investigate the blood glucose control influence of the family psychological intervention on the type 2 diabetes combined with anxiety under the model of family doctor. Method 100 patients who had type 2 diabetes mellitus with certain diagnosis were randomly selected and divided into intervention group and control group with 50 cases in each group. After and before the intervention, the psychological status was determined by Hamilton anxiety scale (HAMA) , the questionnaires were used to know the basic situation of patients. Both groups received routine therapy, and the intervention group was plus mental intervention. Before and after treatment, were compared fasting blood glucose, two hours postprandial blood glucose, glycated hemoglobin and anxiety index were compared. Results after intervention ,all of the anxiety scores , fasting blood glucose , glycated hemoglobin, and two hours postprandial blood glucose of the intervention group were lower than the control group, the two groups differences were statistically significant(Plt;0.05).Conclusion the family of psychological intervention could significantly relieve the patientsrsquo; anxiety, and effectively improve the blood glucose of the patients with diabetes. 　　【Key words】 type 2 diabetes； anxiety; psychological intervention 　　糖尿病是由环境和遗传因素综合相互作用引起的一组以慢性高血糖为特征的代谢异常综合??。同时，糖尿病也是一种心身性疾病，生活事件和方式、情绪等不良心理因素与糖尿病的发生、发展和预后关系比较密切[1]。为了了解家庭医生模式下家庭心理干预对2型糖尿病合并焦虑患者血糖控制的影响，本研究对嘉定区安亭镇黄渡社区50 例患者进行了家庭医生指导下家庭成员对2型糖尿病合并焦虑患者的心理干预和健康指导，收到了良好的效果： 　　对象与方法 　　1．对象 从嘉定区安亭镇黄渡社区糖尿病管理数据库中通过查糖化血红蛋白的2型糖尿病患者100例，其中男性48例，女性52例，年龄范围为46～83岁，平均年龄为（