探讨型糖尿病病人心理治疗作用的研究

Effect on Mental Therapy in the Patients with Type 2 Diabetes

目的探讨型糖尿病病人心理治疗的重要作用,对型糖尿病病人进行心理治疗,使病人对糖尿病有正确的认识,合理安排自己的生活和工作,从而有效控制糖尿病的发展。方法选择2001年5月至2004年10月在永州市第三人民医院住院,无并发症的符合WHO糖尿病诊断标准的型糖尿病病人作为研究对象。严格按照随机原则分为实验组和对照组,对实验组病人除了与对照组完全一样的药物治疗外,有目的、有计划、有步骤地进行心理干预治疗。应用抑郁自评量表(SDS)、焦虑自评量表(SAS)及症状自评量表(SCL-90)对两组人群进行测评;收集病人的相关资料。结果实验组比对照组在血糖、糖化血红蛋白、血脂、尿微量蛋白、血清尿酸、SDS、SAS、SCL-90这8项指标恢复较快,较稳定,并发症发生率减少。结论进行心理治疗有利于控制型糖尿病,心理治疗在型糖尿病治疗中有重要作用,可延长病人生存时间和提高病人的生命质量,且在健康教育、预防方面起到不可估量的作用,是型糖尿病治疗的有效方法。

Objective To explore the mental therapy function in the patients with type 2 diabetes. Mental therapy was applied to treat the patients with type 2 diabetes, The patients were had correct cognition to diabetes, arranged rationally work and life, and then the development of diabetes was controlled effectively, Methods All patients with type 2 diabetes which were selected from the third people＇s hospital of Yongzhou city in May, 2001 to Oct. 2004, hadn＇t complication and accorded with the diagfiosis standard of WHO about diabetes. The patients were random divided into experiment group and control group. Based on the same medicines therapies, the experiment group was treated with purposeful, planed, stepped psychology therapy. The SDS, SAS and SCL-90 were applied to measure the two-group patients and collect correlative data. Results The blood sugar, saccharified hemoglobin, blood fat, micro protein in urine, uric acid in serum, SDS, SAS and SCL-90 were more stable and their recoverment were quicker in experiment group than in controls. The complication was decreased. Conclusion Mental therapy was beneficial to treat type 2 diabetes. Existence time could be prolonged and life quality could be developed when mental therapy was applied to treat the patients with type 2 diabetes. Mental therapy had important function in treatment, health education and prevention of diabetes, and was effective therapy method of type 2 diabetes.