团体心理干预对糖尿病伴抑郁患者的影响

Impact of group psychological intervention on diabetic patients with depression

目的探讨应用团体心理干预对2型糖尿病伴抑郁患者糖代谢、心理状况及生活质量的影响。方法采用Zung自评抑郁量表(SDS)对巴南区人民医院就诊的250例2型糖尿病患者进行调查,筛选2型糖尿病伴抑郁者82例,再按抑郁程度分层随机抽样将其分为团体心理干预组(干预组)和对照组。对照组患者采用降血糖、降血脂药物治疗,干预组在此基础上辅以团体心理干预。团体心理干预前后对全部被试者进行空腹血糖、糖化血红蛋白和生活质量测量。结果对照组治疗后的空腹血糖及糖化血红蛋白水平分别为(7.21±0.31)mmol/L和(6.89±0.29)%,而干预组则分别为(5.01±0.29)mmol/L、(5.12±0.32)%,干预组明显低于对照组,差异均有统计学意义(P<0.05);干预组治疗后的生活质量、生理因素、社会关系及治疗因素等四个维度的分值均明显低于对照组,差异均有统计学意义(P<0.05)。结论团体心理干预可以有效降低2型糖尿病伴抑郁患者的空腹血糖及糖化血红蛋白水平,改善糖尿病患者的生活质量。

Objective To investigate the effect of group psychological intervention on glucose metabolism of type 2 diabetes patients complicated with depression. Methods A total of 250 patients with type 2 diabetes were assessed with Self-reporting Depression Scale （SDS）, of which 82 were found with depression. The 82 patients were randomly divided into the treatment group and the control group. The control group was treated only with convention- al therapies, while the treatment group, received group psychological intervention. The biological indicators （fasting blood glucose, glycosylated hemoglobin） and quality of life （life quality of patients with diabetes mellitus） of the pa- tients in both groups were measured before and after intervention. Results after intervention, the fasting blood glu- cose level and glycosylated hemoglobin in the treatment group [（5.01±0.29） mmoi/L, （5.12±0.32）%] were significantly lower than the control group [（7.21±0.31） retool/L, （6.89±0.29）]. In the treatment group, the quality of life, physio- logical factors, social relations and treatment factors were all significantly lower （P〈0.05）. Conclusion Group psy- chological intervention can effectively reduce the fasting blood glucose and glycosylated hemoglobin levels, and improve the life quality levels of patients with diabetes mellitus.