【摘要】 目的探讨系统性心理行为干预对2型糖尿病患者的影响。方法将87例2型糖尿病住院患者随机分为研究组(49例)与对照组(38例)。对照组仅进行常规药物治疗和糖尿病常规护理;研究组在此基础上进行系统性心理行为干预,其内容包括心理健康教育、个别心理咨询与家庭治疗、行为矫正和运动疗法等。两组患者分别于干预前、干预后3个月采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评定患者焦虑、抑郁症状,并进行空腹血糖(FBG)及糖化血红蛋白(HbA1c)、体重指数(BMI)、总体幸福感量表(GWB)的测评;分别计算两组的住院时间及总住院费用,比较两组患者出院3个月内与糖尿病有关的再住院率。结果研究组干预前后SAS、SDS、FBG、HbA1c、BMI、GWB比较,差异有显著性意义(均P<0·01);对照组除BMI外,组内干预前后比较,差异有显著性意义(均P<0·01);干预后两组SAS、SDS、FBG、HbA1c、GWB比较,差异有显著性意义(P<0·05,P<0·01),而BMI之间比较,差异无显著性意义(P>0·05)。研究组的住院时间、总住院费用较对照组显著减少(均P<0·01);干预3个月后研究组与糖尿病有关的再住院率显著低于对照组(P<0·05)。结论系统性心理行为干预能显著改善2型糖尿病患者的抑郁、焦虑症状,保持血糖稳定,改善患者生活质量,缩短住院时间,减少住院成本和再住院率。更多还原

【Abstract】 Objective To evaluate the effects of integrative psychological and behavior intervention on the patients with type 2 diabetes. Methods Eighty-seven patients with type 2 diabetes were randomly divided into two groups: study group (integrative psychological and behavior intervention group) and control group (conventional care group). Zung’s self-rating depression scale (SDS) and self-rating anxiety scale (SAS), fasting blood glucose (FBG), body mass index (BMI), general well-being schedule (GWB) were assessed at baseline, after 3 months of intervention. The total cost, hospital stay, incidence of re-hospitalization were analyzed and compared between two groups.Results Before and after intervention for study group, there were significant differences in SAS, SDS, FBG, HbA1c, BMI and GWB. For control group, except BMI there were significant differerce. After intervention, for the two groups, there were significant difference in SAS, SDS, FBG, HbA1c, GWB, but there wasn’t significant difference in BMI, the total cost, hospital stay, incidence of re-hospitalization between two groups (P< 0.05,P<0.01).Conclusion Integrative psychological and behavior intervention can obviously improve depressive and anxiety symtoms and quality of life, maintain stable FBG, shorten the hospital stay, reduce the total cost and incidence of re-hospitalization of the patients with type 2 diabetes.更多还原