认知行为疗法对2型糖尿病合并抑郁和焦虑患者的疗效

The effect of cognitive behavior therapy for type 2 diabetes mellitus patients with depression and anxiety

目的探讨应用认知行为疗法治疗2型糖尿病合并抑郁和焦虑患者的临床疗效。方法将2018年7月~2019年7月本院收治2型糖尿病合并抑郁和焦虑的患者80例分为两组,对照组(常规药物治疗,n=40)与实验组(常规药物治疗+认知行为疗法,n=40)。比较两组患者干预前后的抑郁和焦虑水平以及FPG、PG2h等血糖指标。结果干预前,两组抑郁和焦虑水平、空腹血糖及餐后2小时血糖、糖化血红蛋白(HbA1C)均无显著差异(P>0.05);干预后,实验组SAS、SDS评分及FPG、PG2h、HbA1C各项指标相比干预前均有明显改善,且实验组患者各项血糖水平抑郁和焦虑评分明显低于对照组(P<0.05)。结论应用认知行为疗法对2型糖尿病患者的抑郁和焦虑等不良心理情绪具有良好改善作用,还可有效控制患者的血糖指标。

Objective To analyze the clinical effect of cognitive behavioral therapy on type 2 diabetes mellitus patients with depression and anxiety.Methods 80 type 2 diabetes mellitus patients with depression and anxiety were selected and divided into two groups.The depression and anxiety levels of the control group(routine drug therapy,n=40)and the experimental group(routine drug therapy+cognitive behavioral therapy,n=40)before and after intervention were compared,and the SAS,SDS scores,FPG,PG2h and other blood sugar indicators of the patients were tested and compared.Results Before intervention,there were no significant differences in depression and anxiety level,fasting blood glucose,2-hour postprandial blood glucose and glycosylated hemoglobin(HbA1C)between the two groups(P>0.05).After intervention,SAS,SDS scores and FPG,PG2h,HbA1C indexes of the experimental group were significantly improved compared with those before intervention,and the blood glucose levels of the experimental group were lower than that in the control group(P<0.05).Conclusion Cognitive behavioral therapy can improve the depression and anxiety of type 2 diabetic patients,and can effectively control the blood sugar level of diabetic patients.