2型糖尿病合并抑郁患者中西医结合社区干预效果

Effect of integrative traditional Chinese medicine and western medicine intervention on patients with type 2 diabetes co-morbid depression in community

目的：探讨中西医结合社区干预对2型糖尿病合并抑郁患者的临床应用效果。方法：选取我社区2014年3月-2015年12月收治的2型糖尿病合并抑郁症患者82例,按照统计学原理分为对照组和观察组（n=41）。所有患者接受常规门诊治疗时,对照组患者实行社区护理干预,观察组患者在接受社区护理干预的基础上结合中西医予以治疗,比较两组患者的糖化血红蛋白（Glycosylated hemoglobin,HbA1c）值和临床应用效果。结果：所有患者接受护理与治疗后,抑郁评分、焦虑评分均有所降低（P〈0.05）;并且观察组患者评分下降幅度明显优于对照组患者（P〈0.05）;与此同时观察组患者糖化血红蛋白（HbA1c）值低于对照组患者（P〈0.05）。结论：针对2型糖尿病合并抑郁症的患者,在社区护理干预的基础上联合中西医结合治疗,可以明显改善患者的心理状态,提高患者对临床护理的满意度,减轻患者的抑郁程度,有助于控制病情。

Objective：To explore the effects of integrative Chinese and western medicine intervention on patients with type 2diabetes mellitus co-morbid depression in community.Methods：Totally 82 patients with type 2diabetes mellitus and depression were chose in our community in March 2014 to December 2015.All the patients were divided into control group and observation group（n=41）according to the statistics theory.All patients in control group received routine treatment with nursing intervention,the patients in observation group were nursing intervention on the basis of combining traditional Chinese and western medicine treatment.The value of hemoglobin（HbA1c）and the clinical application effect were compared.Results：The score of depression and anxiety were significantly decreased in observation group compared with control group（P〈0.05）.The hemoglobin（HbA1c）in observation group was lower than the control group（P〈0.05）.Conclusion：For patients with type 2diabetes mellitus co-morbid depression,on the basis of community nursing intervention,combining traditional Chinese and western medicine treatment can significantly improve the patient′s mental state and satisfaction of clinical nursing,decrease the degree of depression,help control the condition.