认知行为疗法对糖尿病合并抑郁的干预效果

Intervention Effect of Cognitive Behavioral Therapy on Diabetes Complicated with Depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(2)
作者
作者单位

平煤神马医疗集团总医院内分泌二区 ;

摘要
【摘要】探讨认知行为疗法对糖尿病合并抑郁的干预效果。方法 本研究对象为2020年3月~2022年3月我院70例糖尿病抑郁患者,数字表法随机分为两组,两组均给予基础护理,对照组患者采用常规心理护理,观察组采用认知行为疗法。评估两组患者护理前后汉密尔顿焦虑量表(HAMA)、抑郁自评量表(HAMD),检测护理前后空腹血糖(FBG)、餐后2h血糖(2hPG)。结果 护理后两组HAMA评分、HAMD评分均较护理前显著下降,且护理后观察组两项评分均显著低于对照组,(P<0.05);两组护理后FBG、2hPG均较护理前显著下降,且护理后观察组两指标均显著低于对照组,(P<0.05)。结论 认知行为疗法能够显著降低糖尿病合并抑郁患者的焦虑与抑郁负性情绪,并有助于控制血糖水平。
Abstract
[Abstract] Objective To explore the intervention effect of cognitive behavioral therapy on diabetes complicated with depression. Methods Seventy patients with diabetes and depression in our hospital from March 2020 to March 2022 were selected as the study subjects. They were randomly divided into two groups using the number table method. Both groups were given basic care, the control group was given routine psychological care, and the observation group was given cognitive behavioral therapy. The Hamilton Anxiety Scale (HAMA) and the Self-Rating Depression Scale (HAMD) were evaluated in the two groups before and after nursing. The fasting blood glucose (FBG) and 2h postprandial blood glucose (2hPG) before and after nursing were detected. Results After nursing, the HAMA scores and HAMD scores in the two groups were significantly decreased compared with those before nursing, and the two scores in the observation group after nursing were significantly lower than those in the control group (P<0.05). After nursing, FBG and 2hPG in the two groups were significantly decreased compared with those before nursing, and the two indexes in the observation group were significantly lower than those in the control group after nursing (P<0.05). Conclusion Cognitive behavioral therapy can significantly reduce anxiety and depressive negative emotions in patients with diabetes and depression, and help control blood sugar levels.
关键词
关键词:认知行为疗法;糖尿病;抑郁;血糖
KeyWord
Key words Cognitive Behavioral Therapy; Diabetes; Depression; Blood Sugar
基金项目
页码 643-645
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郭凯歌*. 认知行为疗法对糖尿病合并抑郁的干预效果 [J]. 国际精神病学杂志. 2024; 51; (2). 643 - 645.

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