基于积极心理学理论的心理干预在2型糖尿病伴抑郁症患者中的应用

The application of psychological intervention based on positive psychology theory in patients with type 2 diabetes with depression

目的探讨在2型糖尿病伴抑郁症患者中应用基于积极心理学理论的心理干预的护理效果.方法选取60例2型糖尿病伴抑郁症患者,随机分为干预组和对照组,每组30例,均接受降血糖治疗.对照组采用常规护理方法,干预组采用积极心理学理论进行积极心理干预,3次/w,共10 w.评估两组患者干预前、干预10w后、出院后3个月、出院后6个月抑郁自评量表(SDS)、糖尿病患者日常生活自我照顾活动量表(SDSCA)得分情况,检测空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)水平.结果干预组10 w后,出院后3个月、出院后6个月的SDS得分和FPG、2 h PG、HbA1c低于对照组,差异均有统计学意义(P<0.05);干预组患者干预10 w后,出院后3个月和出院6个月后SDSCA得分高于对照组,差异均有统计学意义(P<0.05),两组患者SDSCA分数随时间延长而增加,差异均有统计学意义(P<0.05),干预组SDSCA分数增高幅度大于对照组,差异均有统计学意义(P<0.05).结论以积极心理学理论为基础,对2型糖尿病伴抑郁症患者进行团队心理干预,有助于帮助患者保持良好的心理状态,有效改善患者的抑郁症状,提高患者的自护能力,控制血糖水平.

Objective To explore the effect of group psychological intervention based on positive psychology theory in type 2 diabetes mellitus patients with depression.Methods A total of 60 patients with type 2 diabetes with depression were randomly divided into the intervention group and the control group.30 patients in each group received hypoglycemic treatment.The control group was treated with routine nursing methods,while the intervention group was treated with positive psychological theory for 3 times per week,10 weeks.Before intervention,10 weeks after intervention,3 months after discharge,and 6 months after discharge were assessed for self-rating depression scale(SDS)and self-management ability scale(SDSCA)scores of patients with diabetes and FPG,2 h PG and HbAlc.Results The SDS score and FPG,2 h PG and HbAlc of the intervention group were lower than those of the control group at 10 weeks,3 months after discharge,and 6 months after discharge,and the differences were statistically significant(P<0.05).After 10 weeks of intervention,SDSCA scores of patients in the intervention group were higher than those in the control group 3 months after discharge and 6 months after discharge,with statistically significant differences(PvO.05).SDSCA score of the two groups increased with time extension,and the difference was statistically significant(P<0.05).The SDSCA score in the intervention group increased more than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Based on positive psychology theory,group psychological intervention on type 2 diabetes mellitus patients with depression is helpful to cultivate positive psychology,improve depressive symptoms,lift daily life self-care ability and control blood sugar level.