心理护理干预对2型糖尿病患者心理状态及血糖控制的影响

Influence of psychological nursing intervention on psychological state and blood sugar control of patients with type 2 diabetes

目的观察心理护理干预对2型糖尿病患者心理状态及血糖控制的影响。方法随机将130例患者分为观察组和对照组,2组患者在进行药物治疗的同时,对照组实施常规护理,观察组在常规护理基础上实施心理护理干预。2组患者均采用HAMA(汉密尔顿焦虑量表)和HAMD(汉密尔顿抑郁量表)评定心理状态,并对治疗前后2组患者的空腹血糖(FPG)、餐后2 h血糖(2h PG)和糖化血红蛋白(Hb Alc)进行比较。结果治疗后,观察组FPG、2h PG、Hb Alc、HAMA评分、HAMD评分均显著低于对照组,差异均有统计学意义(P<0.05)。结论护理干预对2型糖尿病心理状态及血糖控制具有积极意义。

Objective To observe the effect of psychological nursing intervention on blood sugar control and psychological state of patients with type 2 diabetes. Methods A total of 130 cases were randomly divided into observation group and control group. With the drug treatment of two groups,the control group was given routine nursing while the observation group was given psychological nursing intervention based on routine nursing. The psychological state of two groups was assessed by HAMA（ Hamilton Anxiety Scale） and HAMD（ Hamilton Depression Inventory）,and fasting blood glucose（ FPG）,postprandial blood glucose after 2 hours（ 2h PG） and glycosylated hemoglobin（ Hb A1c） before and after treatment of the two groups were compared. Results After treatment,FPG,2h PG,Hb Alc,HAMA score and HAMD score in the observation group were higher than those in the control group,the difference was statistically significant（ P〈0. 05）. Conclusion Nursing intervention has positive significance to adjust psychological state and control blood glucose in type 2 diabetes patients.