心理护理对于改善老年糖尿病患者焦虑抑郁情绪的效果分析

The effect of psychological nursing intervention to improve the anxiety and depression of elderly patientswith diabetes.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(1)
作者
作者单位

四川省遂宁市中心医院 ;

摘要
探讨和观察心理护理措施对改善老年糖尿病患者焦虑抑郁情绪的效果。 方法选取2014年1月至2015年1月在我院接受糖原病治疗的老年患者110例,按照随机数字表的方法分为观察组(n=55)和对照组(n=55),对对照组实施常规的护理措施,对观察组在对照纽的基础上实施心理护理措施。 采用汉密顿1中郁量表 ( HAMD) 和汉密尔顿焦虑量表 ( HAMA) 对两组患者焦虑j中郁状况进行评定, 比较两组患者干预前后的焦虑标准评分、 ifF郁标准评分, 同时比较两组患者的血糖控制情况以及两组患者的生活质量评分。 结果 观蔡组患者的焦虑;中郁状况和对照组比较,有明显改善(P<0.05);观察组的空腹血擔(FBG)、餐后2h血擔(PBG)、糖化血红蛋白(HbAIC)与对照组相比较,有明显降低(P<0.05),且观察组的生活质量明显优于对照组的患者 ( P<0. 05 ) 。 结论 心理护理千预措施较常规护理更能能减轻患者的焦虑 1中郁程度, 并可以辅助患者控制血糖, 同时提高了患者的生活质量。
Abstract
〇bjective To explore and observe the effect of psychological nursing intervention to improve theanxiety and depression of elderly patients with diabetes. Methods 110 case of elderly patients with diabete from January 2014 to January 2015 were selected and randomly divided into the observation group(n=55) and the con- trol group(n=55). The patients of the control group were given usual nursing care, the patients of the observation group were given psychological intervention. Using the HAMD and HAMA for anxiety and depression status of pa- tients were assessed before and after the follow-up of two groups were compared in the management of anxiety stand- ard scores, depression standard score, and glycated hemoglobin(HbAlc), changes in two hours postprandial glu- cose, fasting blood sugar and living quality. Results The observation group of patients with anxiety and depression in the control group, a significant improvement(P<0.05) ; and the observation group of patients with FBG、 PBG、HbAIC in the control group, a significant below(P<0.05) ; and the observation group of living quality better thanthe control group(P<0. 05). Conclusion Psychological nursing intervention measures more than the routine nurs- ing care can reduce the degree of anxiety in the patients with depression, can improve the patients glucose metabo- lism, and improve the patientslivinglife
关键词
心理护理;糖尿病;焦虑; 抑郁
KeyWord
Psychological nursing intervention; Diabetes.; Anxiety; Depression
基金项目
页码 155-157
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何莲芬*,樊玲玲 ,邓怡,周小蓉. 心理护理对于改善老年糖尿病患者焦虑抑郁情绪的效果分析 [J]. 国际精神病学杂志. 2016; 43; (1). 155 - 157.

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