摘要
目的探讨小组治疗方法对Ⅱ型糖尿病患者心理状况及糖代谢的影响。方法将67名Ⅱ型糖尿病患者随机分为实验组(n=34)和对照组(n=33)。对照组采用降糖药物治疗,实验组在药物治疗的基础上进行小组治疗。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)分别于干预前和干预后第12周末评定两组患者情绪变化,同时进行空服血糖(FPG)、餐后2小时血糖(2HPG)、糖化血红蛋白(HbAlc)、血脂(TC、TG、HDL-C)的实验室检查。结果实验组干预后焦虑自评量表、抑郁自评量表评分明显低于对照组,差异有显著意义(P<0.01)。实验组干预后HbAlc、TG低于对照组,差异有显著性意义(P<0.05)。结论小组治疗对改善糖尿病患者的心理状况和糖代谢指标有积极作用。
Objective To study the effects of group intervention on mental state and carbohydrate metabolism in patients with type-2 diabetes. Methods A total of 67 patients with type-2 diabetes mellitus were randomly divided into experimental group （n=34） and control group （n=33）. The control group received only hypolycemics. The experimental group was given group intervention based on drug therapy. Clinical effects amd the change of patient＇s emotion were assessed with the Self-rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS） before treatment and at the end of the 12th week of treatment. At the same time, FPG, 2HPG, HbAlC, TC, TG and HDL-C were measured in laboratory. Results Scores of SAS and SDS were significantly lower in the intervention group than those in the control group after intervention, which had significant difference （P〈0.01）. HbAlC and TG were lower in the intervention group than those in the control group, which had significant difference （P〈0.05）. Conclusion The treatment of group intervention for the patients with type-2 diabetes had positive effects, which could improve mental state and metabolic indices of the patients.
出处
《中国健康心理学杂志》
2009年第12期1434-1435,共2页
China Journal of Health Psychology
基金
天津医科大学科研课题(2007ky38)
