心理干预对老年糖尿病患者血糖和情绪的影响

Effect of psychological intervention on blood glucose control and emotion of elderly patients with diabetes

目的:观察心理干预对老年糖尿病患者血糖和情绪的影响。方法:选取2015年11月至2017年10月在我院接收治疗的老年糖尿病患者100例,根据干预方式分为观察组和对照组,每组50例,给予对照组常规药物干预,观察组在对照组基础上实施心理康复干预,比较干预前和干预后两组患者汉密尔顿焦虑量表(HAMA)评分及汉密尔顿抑郁量表(HAMD)评分情况和血糖控制情况。结果:干预后,观察组患者HAMA评分明显优于对照组,差异具有统计学意义(t=5.229,P<0.05);观察组患者HAMD评分明显优于对照组,差异具有统计学意义(t=4.286,P<0.05);干预后,观察组患者空腹血糖、餐后2小时血糖指标明显比对照组低,差异具有统计学意义(t=3.320,4.459;P<0.05)。结论:心理干预可明显控制老年糖尿病患者血糖指标,同时缓解患者焦虑、抑郁等负面情绪。

Objective:To analyze the effect of psychological intervention on blood glucose control and emotion of elderly patients with diabetes.Methods:A total of 100 elderly patients with diabetes from our hospital in Nov.2015 to Oct.2017 were divided into observation group and control group according to the different nursing measures,with 50 cases in each group;the control group was given routine nursing care,the observation group was given psychological intervention.The scores of Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)and blood glucose control in the two groups were compared before and after intervention.Results:After intervention,the Hamilton anxiety scale score(HAMA)of the observation group was significantly better than that of the control group,and the difference was statistically significant(t=5.229,P<0.05).The Hamilton depression scale score(HAMD)in the observation group was significantly better than that in the control group,with statistically significant difference t=4.286,P<0.05).After intervention,the fasting blood glucose and postprandial blood glucose index were significantly lower in the observation group than that in the control group.The difference was statistically significant(t=3.320,4.459;P<0.05).Conclusion:Psychological intervention can obviously control the blood glucose index of elderly patients with diabetes,while alleviating the negative emotions such as anxiety and depression.