糖尿病合并抑郁患者的健康教育

Effect of Health Education and Psychology Intervention to Diabetic with Depression

目的 探讨健康教育与心理干预对 2型糖尿病合并抑郁患者的抑郁症状及糖脂代谢的作用。方法 将 2型糖尿病合并抑郁患者 77例随机分为干预组 (n =39)与对照组 (n =38)。对照组给予常规药物治疗 ,干预组则在常规药物治疗的基础上进行 3个月的健康教育与心理干预。分别于治疗前、治疗后进行Zung抑郁自评量表、汉密顿抑郁量表评分及糖脂代谢水平检测。结果 经健康教育与心理干预 3个月后 ,干预组抑郁自评量表和汉密顿抑郁量表积分显著下降 (P <0 0 1) ,显著低于对照组 (P <0 0 1) ,抑郁指数显著降低 (P <0 0 5 ) ,糖脂代谢显著改善 (P <0 0 5 )。结论 健康教育与心理干预可改善

Objective To explore the effect of health education and psychology intervention to depression symptom and glycolipid metabolism of 2TDM diabetic with depression.Methods Randomly divide the 77 cases of 2TDM diabetic with depression patients into intervention group(n=39) and control group(n=38).Give control group routine medicine modality,and on the basis of this,give intervention group 3 months health education and psychology intervention.Conduct Zung depression self-measured form,Hamilton depression rating scale score and glydolipid metabolism level test pre and after treatment respectively.Results After 3 months health education and psychology intervention,the cumulative scoring of depression self-measured form and Hamilton depression rating scale decrease dramatically(P< 0.01),which is lower than control group(P< 0.01)remarkably,depression index reduces sharply(P< 0.05),glycolipid metabolism improves strikingly(P< 0.05).Conclusion Health education and psychology intervention could improve the depression symptoms and glycolipid metabolism of 2TDM diabetic with depression.