集体心理干预对社区住院老年糖尿病伴抑郁、焦虑患者疗效的影响

Effect of group psychotherapy in elderly diabetic inpatients combined with depression and anxiety symptoms

目的探讨集体心理干预对社区住院老年糖尿病伴抑郁、焦虑患者疗效的影响。方法将136例社区住院老年糖尿病伴抑郁、焦虑患者随机分为两组,集体心理干预组68例,常规治疗组68例;两组均给予胰岛素治疗5周。于治疗前后进行空腹血糖(FBG)、餐后2 h血糖(2hBG)、糖化血红蛋白(HbA1c)、超敏C-反应蛋白(hsC-RP)及SDS、SAS评分比较。结果集体心理干预组血糖控制效果及SDS,SAS分值改善均显著优于常规治疗对照组(P<0.01)。结论集体心理干预可改善老年糖尿病伴抑郁、焦虑患者的抑郁、焦虑症状,控制血糖水平疗效更显著。

Objective To explore the influence of group psychotherapy on efficiency in elderly diabetic inpatients combined with anxiety and depression symptoms. Methods A total of 136 elderly type 2 diabetic inpatients combined with anxiety and depression symptoms were randomly divided into study group （n = 68 ） treated with insulin injection plus group psychotherapy and control group （n = 68 ） treated with insulin injection monotherapy for 5 weeks. FBG, 2Hbg, HbAlc, hsC -RP, Self- rating Anxiety Scale （SAS） and Self- rating Depression Scale （SDS）were measured at the baseline and the 5th weekend to assess the efficiency. Results At the end of the treatment, scores of SAS and SDS, as well as the levels of FBG, 2hBG, HbAlc and hsC - RP in study group were significantly lower than those in control group （P 〈 0.05 or 0.01 ）. Conclusion Group psychotherapy can effectively improve the combined anxiety and depression symptoms in diabetic patients, moreover, it is good for regulating the blood sugar level.