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心理干预对2型糖尿病患者情绪和糖代谢的影响

Effects of Comprehensive Psychological Intervention on Emotion and Carbohydrate Metabolism in Patients with Type 2 Diabetes Mellitus

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【作者】 李英辉汤仕忠陈文姬李勇

【Author】 LI Ying-hui,TANG Shi-zhong,CHEN Wen-ji,et al.General Practice Centre,Zhongda Hospital Affiliated to Dongnan University,Jiangsu 210006,China

【机构】 东南大学附属中大医院全科医学中心江苏省人民医院临床心理科

【摘要】 目的分析心理干预对2型糖尿病患者情绪及糖代谢的影响。方法对照组单用药物治疗,干预组在药物治疗的基础上给予心理干预。采用90项症状问卷于治疗前及治疗第4周末评定两组情绪变化,同期测定空腹血糖、餐后2h血糖及糖化血红蛋白。结果治疗后干预组抑郁、焦虑、躯体化和强迫因子分低于对照组。治疗后干预组空腹血糖及餐后2h血糖低于对照组。结论心理干预能有效改善糖尿病患者的情绪及血糖控制水平。

【Abstract】 Objective To analyze the effects of comprehensive psychological intervention on emotion and carbohydrate metabolism in patients with type 2 diabetes mellitus.Methods The control group was treated only with medical therapy,whereas the intervention group both with medical therapy and psychological intervention.The change of emotion was assessed with symptom checklist-90(SCL-90)before the treatment and the end of the fourth week.The fasting blood sugar,blood sugar in the 2 hour after meal and glycosylation hemoglobin were measured at the same time.Results After the treatment,the scores of depression,anxiety,somatization and obsession-compulsion in the intervention group were lower than that in the control group.Fasting sugar and blood sugar in the 2 hour after meal were lower in the intervention group compared with the control group.Conclusions The comprehensive psychological intervention can effectively improve emotion and level of blood sugar of patients with diabetes mellitus.

  • 【文献出处】 中华全科医学 ,Chinese Journal of General Practice , 编辑部邮箱 ,2008年12期
  • 【分类号】R587.1;R395.5
  • 【被引频次】38
  • 【下载频次】229
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