多学科合作下同伴支持干预对2型糖尿病抑郁患者抑郁与血糖的改善作用研究

Study on the Improvement Effect of Peer Support Intervention on Depression and Blood Glucose in Patients with Type 2 Diabetes and Depression under Multidisciplinary Cooperation

目的探讨多学科合作下同伴支持对2型糖尿病抑郁患者抑郁状态与血糖的改善作用。方法选取2020年1月—2021年3月东营市中医院精神卫生康复科收治的44例2型糖尿病抑郁患者作为研究对象,采用抽签法分为观察组和对照组,每组22例。对照组实施常规护理,观察组在常规护理基础上实施多学科合作下同伴支持干预。对比两组患者的抑郁自评量表(SDS)评分、血糖水平值和护理满意度。结果干预后,两组患者SDS指标明显降低,观察组患者SDS指标降低程度较好,优于对照组,差异有统计学意义(P<0.05)。观察组患者血糖水平明显比对照组低,差异有统计学意义(P<0.05)。观察组护理满意度为95.45%;对照组护理满意度为50.00%。观察组患者护理满意度明显比对照组高,差异有统计学意义(P<0.05)。结论多学科合作下的同伴支持干预措施能够显著改善2型糖尿病抑郁患者的抑郁情绪,改善患者的血糖水平,提高患者的满意程度,临床效果满意。

Objective To investigate the effect of peer support on depression and blood glucose in patients with type 2 diabetes and depression under multidisciplinary cooperation.Methods A total of 44 patients with type 2 diabetes and depression admitted to the Department of Mental Health Rehabilitation of Dongying Hospital of Traditional Chinese Medicine from January 2020 to March 2021 were selected as the research subjects.They were divided into observation group and control group by drawing lots,with 22 cases in each group.The control group was given routine nursing care,and the observation group was given peer support intervention under multidisciplinary cooperation on the basis of routine nursing.The self-rating depression scale(SDS)score,blood glucose level and nursing satisfaction were compared between the two groups.Results After the intervention,the SDS indexes of the two groups were significantly decreased,and the SDS indexes of the observation group were better than those of the control group,and the difference was statistically significant(P<0.05).The blood glucose level of the patients in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 95.45%;the nursing satisfaction of the control group was 50.00%.The nursing satisfaction of patients in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Peer support interventions under multidisciplinary cooperation can significantly improve the depression of patients with type 2 diabetes mellitus,improve the blood glucose level of the patients,improve the satisfaction of the patients,and the clinical effect is satisfactory.