【摘要】 目的:建立糖尿病患者抑郁情绪的团体咨询干预模式,探讨其对糖尿病患者抑郁情绪、治疗依从性及血糖水平的影响。方法:用抑郁自评量表(SDS)对两个社区糖尿病患者进行调查,将100名有抑郁情绪的患者随机分为两组:团体咨询干预组50名,对照组50名。通过文献检索、咨询专家、个别访谈等方法确定团体咨询模式,对干预组进行2个月8次的团体咨询干预。结果:团体咨询组与对照组在干预后即时、3个月、6个月、1年所测SDS得分,差异有统计学意义(P<0.001),团体咨询组干预前与干预后各时间点SDS得分,差异有统计学意义(P<0.001),而干预后任意两个时间点SDS得分差异无统计学意义(P>0.05)。两组在干预后3个月、6个月、1年所测治疗依从性得分,差异有统计学意义(P<0.05)。团体咨询组与对照组在干预后各时间点所测空腹血糖(FBG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(Hb A1c),差异有统计学意义(P<0.05)。结论:团体咨询模式可以改善糖尿病患者的抑郁情绪,提高其治疗依从性,有效控制血糖水平。更多还原

【Abstract】 Objective: To establish an interference mode ofgroup counseling for diabetic patients with depression and to evaluate the effectiveness ofthis mode on depression, treatment compliance and blood sugar level in the patients.Methods: One hundred diabetic patients with depression were randomly divided into a counseling group and a control group(n=50 per group). Self-Rating Depression Scale(SDS) was applied to all the patients. The interference mode ofgroup counseling was established through literature review, expert consultation or interview. The counseling group received counseling for 8 times within 2 months.Results: There was a significant difference in the SDS scores at 0, 3, 6 or 12 months after the intervention between the 2 groups(P<0.001). For the counseling group, there was a significant difference in the SDS scores between pre-intervention and 3, 6 or 12 months after intervention(P<0.001). However, there was no significant difference in the SDS scores between any two time points after the intervention(P>0.05). There was a significant difference in the compliance between any two time points after the intervention(P<0.05). Fasting blood glucose(FBG), 2 h postprandial blood glucose(2h PG) or glycosylated hemoglobin(HbA 1c) was significantly different at any two time points after the intervention(P<0.05).Conclusion: Group counseling can improve depression, compliance and blood sugar control in the diabetic patients.更多还原