心理干预对社区2型糖尿病伴轻中度抑郁影响

Effect of psychotherapy on patients with type 2 diabetes and light-moderate degree depression

目的探讨心理干预对社区2型糖尿病伴轻中度抑郁的影响。方法将256例社区2型糖尿病伴轻中度抑郁患者随机分为两组,心理干预组128例,常规治疗组128例。12周后,对空腹血糖(FBG)、糖化血红蛋白(HbA1c)、三酰甘油(TG)、总胆固醇(CHO)及SDS评分进行统计分析。结果心理干预组血糖、血脂控制效果及SDS分值改善均显著优于常规治疗对照组,差异有统计学意义(P<0.05)。结论心理干预可改善社区2型糖尿病伴轻中度抑郁患者的抑郁症状并对改善糖脂代谢有益。

Objective To explore the influence of psychotherapy on patients with type 2 diabetes anti light - moderate degree depression. Methods A total of 256 type 2 diabetic patients combined with moderate level depression were randomly divided into study group （n = 128） treated with psychotherapy and control group （n = 128） for 12 weeks. FBG, HbAlc, TG, CttO were measured and Self-rating Depression Scale（SDS） was recorded at the baseline and the 12th weekend to assess the efficiency. Results At the end of the treatment, scores of SDS as well as the levels of blood sugar and blood lipids in study group were significantly lower thau those in control group （ P 〈 0.05 ）. Conclusion Psychotherapy can effectively improve the depression symptoms of patients with type 2 diabetes mellitus and depression. Moreover, it is good for regulating tile blood sugar and blood lipids level