基于PCI模式的积极心理干预在老年2型糖尿病合并抑郁状态患者中的应用效果

Application effects of positive psychological intervention based on PCI mode in elderly patients with type 2 diabetes mellitus complicated with depression

目的:探讨基于心理资本干预(PCI)模式的积极心理干预在老年2型糖尿病合并抑郁状态患者中的应用效果。方法:选取2022年6—12月成都市两所社区卫生服务中心的老年2型糖尿病合并抑郁状态患者为研究对象,使用抽签法将其分成试验组(n=42)和对照组(n=43)。试验组给予常规健康教育和基于PCI模式的积极心理干预,对照组采取常规健康教育及一般心理护理。比较两组干预前后抑郁自评量表(SDS)、积极心理资本问卷(PPQ)得分及相关生化指标。结果:干预后,两组患者SDS评分、空腹血糖、餐后2 h血糖均较干预前降低,且试验组均低于对照组(P<0.05)。干预后,试验组PPQ量表各维度评分及总分均较干预前升高,且试验组均高于对照组(P<0.05)。结论:基于PCI模式的积极心理干预应用于老年2型糖尿病合并抑郁状态患者中,可减轻患者的抑郁情绪,有助于患者的血糖控制及其心理资本水平的提高。

Objective:To explore the application effects of positive psychological intervention based on psychological capital intervention(PCI)mode in elderly patients with type 2 diabetes mellitus(T2DM)complicated with depression.Methods:The elderly T2DM patients with depression in two community health service centers in Chengdu from June to December 2022 were selected as the research objects.They were divided into the experimental group(n=42)and the control group(n=43)by drawing lots:.The experimental group received routine health education and positive psychological intervention based on PCI mode,while the control group received routine health education and general psychological care.The scores of self-rating depression scale(SDS),positive psychological capital questionnaire(PPQ),and related biochemical indicators were compared between the two groups before and after intervention.Results:After intervention,the SDS score,fasting blood glucose,and 2-hour postprandial blood glucose of patients in both groups were decreased compared to those before intervention,and the experimental group showed lower levels than the control group(P<0.05).After intervention,the PPQ total score and the score of each dimension in the experimental group increased compared to those before intervention,and the experimental group showed higher levels than the control group(P<0.05).Conclusion:Positive psychological intervention based on PCI mode applied to elderly T2DM patients with depression can alleviate their depression,help patients control blood sugar and improve their psychological capital level.