系统性自我管理教育对社区2型糖尿病患者生命质量及焦虑抑郁情绪的影响.docVIP

2011,36(2) 133 2011,36(2) 133 J Gent South Univ(Med Sci) 系统性自我管理教育对社区2型糖尿病患者生命质量 及焦虑抑郁情绪的影响 周秋红,李湘平2,邹富珍3,吴辽芳,陈慧玲,刘泽灏 (中南大学湘雅医院 1.内分泌科；2.药剂科；3.美容整形科，长沙410008) [摘要] 目的：探讨系统性自我管理教育对社区2型糖尿病患者生命质量及焦虑抑郁情绪的影响。 方法：2009年2月～2010年7月随机选取长沙市10个社区，干预组与对照组各5个，共纳入2型糖尿病患者 248人为研究对象，干预组予以系统性自我管理教育，对照组予以常规社区教育。采用中文版糖尿病特异性 生命质量测定量表(A-DQOL)、 焦虑自评量表(SAS)、 抑郁自评量表(SDS) 对干预前后两组患者生命质量、焦 虑、抑郁情绪进行评定。 结果：干预前，两组糖尿病患者生命质量各维度、焦虑及抑郁情绪检出率差异均无统 计学意义(P0.05); 干预后，差异均有统计学意义(P0.01)。 干预后，干预组生命质量各维度较对照组明 显改善(P0.01); 干预组焦虑检出率较对照组明显下降(8.94% vs.44.4%,P0.01); 干预组抑郁检出率 较对照组明显下降(23.58% vs.56.00%,P0.01)。 结论：系统性自我管理教育能有效改善社区2型糖尿 病患者生命质量及焦虑、抑郁情绪，值得进一步推广。 [关键词] 社区； 2型糖尿病； 自我管理； 生命质量； 焦虑； 抑郁 DOI:10.3969/j.issn.1672-7347.2011.02.007 Effect of systematic self-management education on quality of life, anxiety and depression of patients with Type 2 diabetes in communities ZHOU Qiuhong, LI Xiangping2, ZOU Fuzhen3, WU Liaofang, CHEN Huiling, LIU Zehao (1.Department of Endocrinology; 2. Department of Pharmacy; 3.Department of Cosmetic Plastic Surgery, Xiangya Hospital, Central South University, Changsha 410008,China) Abstract: Objective To explore the effect of systematic self-management education on quality of life, anxiety and depression of patients with Type 2 diabetes in communities. Methods A total of 248 patients with Type 2 diabetes from 10 communities of Changsha from February 2009 to July 2010 were randomized into an intervention group and a control group. The intervention group received systematic self-management education, while the controls received routine community edu- cation. The quality of life, anxiety and depression were measured by adjusted diabetes-specific qual- ity of life scale(A-DQOL), self-rating anxiety scale(SAS)and self-rating depression scale(SDS) respectively. Results The qual