【摘要】 目的 研究压力接种训练联合结构式心理干预在糖尿病视网膜病变(DR)患者中的应用效果。方法 选取2023年1月至2024年11月百色市人民医院76例DR患者为研究对象，采用随机数字表分为观察组与对照组各38例。对照组行结构式心理干预，观察组同时行压力接种训练。比较两组干预前后的血糖水平、心理健康[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、伤残接受量表(ADS)评分及糖尿病自我管理能力量表(SDSCA)评分。结果 观察组干预后的空腹血糖(6.84±1.31)mmol/L、餐后2 h血糖(8.11±2.26)mmol/L低于对照组(7.69±1.52)mmol/L、(9.93±2.35)mmol/L(P<0.05)；观察组干预后的SAS(42.78±2.91)分、SDS(35.94±3.86)分低于对照组(45.63±3.36)分、(42.77±4.65)分(P<0.05)；观察组干预后的ADS(90.59±7.63)分、SDSCA(51.69±5.63)分高于对照组(82.65±8.34)分、(45.93±5.24)分(P<0.05)。结论 压力接种训练与结构式心理干预联合用于DR患者中，有益于患者身心健康的双重改善，可提高患者疾病接受程度与自我管理能力，有助于降低患者血糖水平。更多还原

【Abstract】 Objective To study the effect of pressure vaccination training combined with structural psychological intervention in patients with diabetes retinopathy(DR). Methods A total of 76 DR patients from Baise People’s Hospital from January 2023 to November 2024 were selected as the study subjects.They were randomly divided into the observation group and control group, with 38 patients in each group. Patients in both groups received structural psychological intervention,while those in the observation group additionally received pressure vaccination training.The blood glucose level, mental health(self-rating anxiety scale[SAS], self-rating depression scale[SDS]), the attitudes to disability scale(ADS) and the summary of diabetes self-care activities(SDSCA) scores were compared between the two groups before and after the intervention.Results After interventions,the fasting blood glucose(6.84±1.31)mmol/L and 2-hour postprandial blood glucose(8.11±2.26)mmol/L in the observation group were significantly lower than those in the control group([7.69±1.52]mmol/L,[9.93±2.35]mmol/L,P<0.05).The SAS(42.78±2.91)points and SDS(35.94±3.86)points scores in the observation group after interventions were significantly lower than those in the control group([45.63±3.36]points, [42.77±4.65]points, P<0.05). After interventions, the ADS(90.59±7.63)points and SDSCA(51.69±5.63)points scores in the observation group were significantly higher than those in the control group([82.65±8.34]points, [45.93±5.24]points, P<0.05). Conclusion The combination of pressure vaccination training and structural psychological intervention is beneficial to the dual improvement of physical and mental health in DR patients, which can enhance their disease acceptance and self-management ability,and help reduce their blood sugar levels.更多还原