全程服务式健康干预对2型糖尿病并心理障碍患者心理状态的影响

Influence of whole course service type health intervention on mental status in patients with type 2 diabetes mellitus complicated with psychological disorders

目的探讨全程服务式健康干预对2型糖尿病并心理障碍患者心理状态的影响。方法选择该院及新会区第三人民医院2016年5月‐2017年5月收治的100例2型糖尿病并心理障碍患者为研究对象,以随机数字表法分组,观察组与对照组各50例,对照组接受常规治疗,观察组在对照组基础上实施全程服务式健康干预,对两组患者治疗后不同时间的心理状态及血糖水平进行观察。结果观察组患者治疗后8周开始焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组(P<0.05);观察组患者空腹血糖从治疗12周开始显著低于对照组,餐后2 h血糖从治疗4周开始低于对照组,差异均有统计学意义(P<0.05)。结论 2型糖尿病并心理障碍患者在常规治疗基础上开展全程服务式健康干预具有可行性,能促进患者心理状态改善,利于血糖控制,值得临床推广。

【Objective】To probe into the influence of whole course service type health intervention on mental status in patients with type 2 diabetes mellitus complicated with psychological disorders.【Methods】One hundred patients with type 2 diabetes mellitus complicated with psychological disorders who accepted treatments in our hospital from May 2016 to May 2017 were selected as the research objects, and were grouped by the random number table method, the observation group and the control group, with 50 cases in each group. The control group received routine treatment, while the observation group was implemented the whole course service type health intervention on the basis of the control group. Then, the mental status and blood sugar level of patients in the two groups at different times after treatment were observed.【Results】In the observation group, the scores of Selfrating Anxiety Scale（SAS） and Self-rating Depression Scale（SDS） were lower than those in the control group after treating for 8 weeks（P 0.05）; the fasting blood glucose in the observation group was significantly lower than that in the control group after treating for 12 weeks, and the postprandial 2 h blood sugar in the observation group was lower than that in the control group after treating for 4 weeks, and the differences were statistically significant（P 0.05）.【Conclusion】On the basis of routine treatment, the implementation of whole service type health intervention for patients with type 2 diabetes mellitus complicated with psychological disorders is feasible, which can promote the improvement of patients＇ psychological status and it is beneficial for blood sugar control, thus it is worthy to be promoted in clinic.