【摘要】 目的探讨社区综合干预对2型糖尿病伴抑郁状态患者糖代谢水平与睡眠质量的影响。方法选取2018年11月—2019年10月期间该社区81例2型糖尿病伴抑郁状态患者作为研究对象,采用随机综合平衡法,划分A组(n=40,常规护理)和B组(n=41,社区综合干预),比较两组糖代谢水平(空腹血糖、餐后2 h血糖、糖化血红蛋白)、睡眠质量(入睡时间、睡眠时间、睡眠效率、睡眠障碍等)。结果干预后,B组患者空腹血糖、餐后2 h血糖、糖化血红蛋白均低于A组;B组患者的匹兹堡睡眠质量指数(PSQI)低于A组,两组之间比较差异有统计学意义(P<0.05)。结论在2型糖尿病伴抑郁状态患者中,应用社区综合干预,能够控制患者的糖代谢水平,提高睡眠质量。更多还原

【Abstract】 Objective To explore the effect of community comprehensive intervention on glucose metabolism and sleep quality in patients with type 2 diabetes with depression. Methods From November 2018 to October 2019, 81 patients with type 2 diabetes and depression were selected as the research objects, and the random comprehensive balance method was used to divide into group A(n=40, routine care) and group B(n=41, Community Comprehensive Intervention), to compare the levels of glucose metabolism(fasting blood glucose, 2 h postprandial blood glucose, glycosylated hemoglobin), sleep quality(sleep time, sleep time, sleep efficiency, sleep disorders, etc.) between the two groups. Results After the intervention, the fasting blood glucose, 2 h postprandial blood glusose and glycosylated hemoglobin of group B were lower than those of group A; the Pittsburgh Sleep Quality Index(PSQI) of group B was lower than group A, and there were statistically significant differences between the two groups(P<0.05). Conclusion In patients with type 2 diabetes and depression, the application of community comprehensive intervention can control the patient’s glucose metabolism and improve sleep quality.更多还原