摘要
目的探讨精神分裂症合并2型糖尿病的临床特征以及农疗对患者康复的影响。方法将88例精神分裂症合并2型糖尿病患者设为研究组，88例精神分裂症患者设为对照组，统计两组不良生活方式及一般资料，采用A型性格问卷评定性格类型，明尼苏达多项人格测查表测评心理特征。将研究组患者按随机数字表法分为A组和B组，A组患者在接受常规康复治疗及护理干预的基础上予以系统化农疗，观察12个月。结果研究组A型性格构成比（51．1％）显著高于对照组（P〈O．01），各种心理问题较对照组更为突出，吸烟、睡眠不好、暴饮暴食、缺乏运动、饮食油腻菜少、过分安逸等不良生活方式，糖尿病家族史阳性率、罹患高血压、肥胖、高脂血症及焦虑抑郁情绪发生率均显著高于对照组（P〈O．05或0．01）。研究组中A组通过康复农场农疗12个月后，各项观察指标均较农疗前显著改善，显著优于B组（P〈0．05或0．01）。结论精神分裂症合并2型糖尿病患者A型性格者居多，不良生活方式、糖尿病家族史、罹患高血压、肥胖、高脂血症及各种心理问题均可能是发生糖尿病的危险因素，针对其性格、心理缺陷、不良生活方式等进行农疗干预，能有效控制患者的血糖水平，提高心理健康水平。
Objective To explore the clinical features of schizophrenia complicated with type 2 diabetes mellitus （T2DM） and the influence of farming therapy on patient＇s rehabilitation. Methods Eighty-eight schizophrenics complicated with T2DM were assigned to research group and 88 schizophrenics to control group, unhealthy life styles and general data of both groups counted, character types evaluated with the Questionnaire of Type 2 Character （QTQC）, and psychological characteristics assessed with the Minnesota Multiphasic Personality Inventory （MMPI）. Research group were assigned to group A and B according to number table, systemic farming therapy was given to group A on the basis of routine rehabilitation treat- ment and nursing interventions for 12 months. Results The constituent ratio of type A character was sig- nificantly higher in research （51.1%） than in control group （P〈0.01）, all kinds of psycho-problems were more outstanding, such unhealthy life styles as smoking, poor sleep, binge overeating, lack of movement, greasy and less vegetable diet and over easy and comfortable, as well as positive rate of diabetes family his- tory, and the incidence of hypertension, obesity, hyperlipidemia and anxiety-depressive emotions were sig- nificantly higher （P〈0.05 or 0.01）. After 12 month farming therapy all observed indexes improved more significantly compared with pre-farming therapy in group A and were better than those in B （P〈0.05 or 0.01）. Conclusion Type A character is more in schizophrenics complicated with T2DM, unhealthy life styles, diabetes family history, complicated hypertension, obesity and hyperlipidemia as well as all kinds of psycho-problems are risk factors causing diabetes, farming therapy aiming at their characters, mental defect and unhealthy life styles could effective control patients＇ blood sugar levels and improve their mental health levels.
出处
《临床心身疾病杂志》
CAS
2016年第1期43-47,共5页
Journal of Clinical Psychosomatic Diseases
关键词
精神分裂症
2型糖尿病
心身疾病
合并症
临床特征
康复农场
农疗
Schizophrenia
T2DM
psychosomatic disease
complication
clinical feature
rehabilitationfarm
farming therapy
