社会支持对伴有抑郁的2型糖尿病的影响研究

The Effect of Social Support on Type II Diabetes with Depression

目的 :探讨社会支持对抑郁症状及糖脂代谢的影响并了解 2型糖尿病患者抑郁症状发生率。方法 :采用Zung抑郁自评量表 (SDS)对 10 0例糖尿病患者及 10 0例正常人群进行测评 ,并进行队列研究 ,选出 2型糖尿病组中合并抑郁症状 5 9例 ,随机分为观察组 30例 ,对照组 2 9例 ,在原药物治疗基础上 ,对观察组进行为期 3个月社会治疗 ,治疗前、治疗后进行抑郁自评量表及代谢控制水平评估。结果 :2型糖尿病合并忧郁症发生率高于正常组 (P <0 .0 1)。经社会支持治疗 3个月后 ,观察组抑郁指数显著降低 (P <0 .0 5 ) ,糖脂代谢显著改善 (P <0 .0 5 ) ,抑郁转归发生率高 ,与对照组比较有极显著差异 (P <0 .0 1)。结论 :2型糖尿病患者常合并抑郁症状 。

Objective:To investigate the prevalence of d epression in type II diabetes and to study the effect of social support on depre ssive symptoms and glucose metabolism. Met hods:one hundred type II diabetes and one hundred healthy controls were assessed wit h the Self-reporting Depression Scale (SDS).Fifty nine type Ⅱ diabeties with d epressiv e symptoms were randomly assigned to the experimental group or the control grou p.The experimental g roup received social support intervention for 3 months in addition to conven tional therapies ,whereas the control group was treated with con ventional therapies.Serum fasting blood glucose, postprandial blood glucose, glycosylated hemoglobin (HbA 1c), TC,TG,LDL,fasting insulin were evaluated before and after treatment. Rusults: The ratio of depression was higher in subjects with Type II diabetes than in healthy controls.The depressive symptoms were significantly improved in the exp erimental group.Conclusion:Soc ial support interventiion helps to improve glucose metabolism and depression in Type Ⅱ diabetis.