心理干预对老年糖尿病患者血糖和情绪的影响
|
摘要
目的:观察心理干预对老年糖尿病患者血糖和情绪的影响。方法:选取2015年11月至2017年10月在我院接收治疗的老年糖尿病患者100例,根据干预方式分为观察组和对照组,每组50例,给予对照组常规药物干预,观察组在对照组基础上实施心理康复干预,比较干预前和干预后两组患者汉密尔顿焦虑量表(HAMA)评分及汉密尔顿抑郁量表(HAMD)评分情况和血糖控制情况。结果:干预后,观察组患者HAMA评分明显优于对照组,差异具有统计学意义(t=5.229,P<0.05);观察组患者HAMD评分明显优于对照组,差异具有统计学意义(t=4.286,P<0.05);干预后,观察组患者空腹血糖、餐后2小时血糖指标明显比对照组低,差异具有统计学意义(t=3.320,4.459;P<0.05)。结论:心理干预可明显控制老年糖尿病患者血糖指标,同时缓解患者焦虑、抑郁等负面情绪。
Objective:To analyze the effect of psychological intervention on blood glucose control and emotion of elderly patients with diabetes.Methods:A total of 100 elderly patients with diabetes from our hospital in Nov.2015 to Oct.2017 were divided into observation group and control group according to the different nursing measures,with 50 cases in each group;the control group was given routine nursing care,the observation group was given psychological intervention.The scores of Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)and blood glucose control in the two groups were compared before and after intervention.Results:After intervention,the Hamilton anxiety scale score(HAMA)of the observation group was significantly better than that of the control group,and the difference was statistically significant(t=5.229,P<0.05).The Hamilton depression scale score(HAMD)in the observation group was significantly better than that in the control group,with statistically significant difference t=4.286,P<0.05).After intervention,the fasting blood glucose and postprandial blood glucose index were significantly lower in the observation group than that in the control group.The difference was statistically significant(t=3.320,4.459;P<0.05).Conclusion:Psychological intervention can obviously control the blood glucose index of elderly patients with diabetes,while alleviating the negative emotions such as anxiety and depression.
Objective:To analyze the effect of psychological intervention on blood glucose control and emotion of elderly patients with diabetes.Methods:A total of 100 elderly patients with diabetes from our hospital in Nov.2015 to Oct.2017 were divided into observation group and control group according to the different nursing measures,with 50 cases in each group;the control group was given routine nursing care,the observation group was given psychological intervention.The scores of Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)and blood glucose control in the two groups were compared before and after intervention.Results:After intervention,the Hamilton anxiety scale score(HAMA)of the observation group was significantly better than that of the control group,and the difference was statistically significant(t=5.229,P<0.05).The Hamilton depression scale score(HAMD)in the observation group was significantly better than that in the control group,with statistically significant difference t=4.286,P<0.05).After intervention,the fasting blood glucose and postprandial blood glucose index were significantly lower in the observation group than that in the control group.The difference was statistically significant(t=3.320,4.459;P<0.05).Conclusion:Psychological intervention can obviously control the blood glucose index of elderly patients with diabetes,while alleviating the negative emotions such as anxiety and depression.
引文
[1]赵芳,李建荣,黄金,等.社区护士糖尿病知识的调查分析[J].中华护理杂志,2016,51(5):635-638
[2]段晓佳,金昌德,闫江楠.老年糖尿病患者口腔健康生活质量及影响因素[J].中华护理杂志.2015.50(3):313-317
[3]Mali A V,Bhise S S,Katyare S S,et al.Altered kinetics properties of erythrocyte lactate dehydrogenase in type II diabetic patients and its implications for lactic acidosis[J].Indian J Clin Biochem,2018,33(1):38-45
[4]陈玉凤,杨圣楠,楼青青.糖尿病相关心理痛苦的研究进展[J].中华护理杂志,2015,50(3):354-359
[5]Gualtero S M,Abril L A,Camelo N,et al.Characteristics of Clostridium difficile infection in a high complexity hospital and report of the circulation of the NAP1/027hypervirulent strain in Colombia[J].Biomedica,2017,37(4):466-472
[6]金珠,陈鸣明,沈凤萍,等.糖尿病患者心理痛苦与应对方式及授权能力的相关性研究[J].护理管理杂志,2016,16(3):166-168
[7]杨月兰,张海云,李晓英,等.心理护理和健康教育对糖尿病患者(上接第391页)焦虑、抑郁情绪的疗效[J].国际精神病学杂志,2016,43(6):1148-1151
[8]张俊英,张永珍,姜庆伟,等.糖尿病患者心理安全感与情绪状态、C肽关系[J].中国健康心理学杂志,2016,24(11):1630-1633
[9]赵蔓,孙春荣.2型糖尿病患者心理弹性与自我管理行为的关系研究[J].齐鲁护理杂志,2017,23(3):34-36
[10]Gawandi S,Gangawane S,Chakrabarti A,et al.A study of Microalbuminuria(MAU)and Advanced Glycation End Products(AGEs)levels in diabetic and hypertensive subjects[J].Indian JClin Biochem,2018,33(1):81-85
[11]王挺,蒙有华,彭春梅.提升希望感的心理护理策略对糖尿病疗效的影响[J].中国健康心理学杂志,2016,24(12):1865-1868
[12]王媛,李荣,张会敏.积极心理干预对2型糖尿病患者主观幸福感的影响[J].中国健康心理学杂志,2016,24(9):1284-1287
[13]何莲芬,樊玲玲,邓怡,等.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):155-158
[14]Abramoff M D,Fort P E,Han I C,et al.Approach for a clinically useful comprehensive classification of vascular and neural aspects of diabetic retinal disease[J].Invest Ophthalmol Vis Sci,2018,59(1):519-527
[15]Kim M,Lee H,Hwang S Y,et al.Azole resistance caused by increased drug efflux in candida glabrata isolated from the urinary tract of a dog with diabetes mellitus[J].Mycobiology,2017,45(4):426-429
[16]杨圣楠,朱元媛,楼青青.2型糖尿病患者生存质量及其与糖尿病心理痛苦的关系[J].护理管理杂志,2015,15(10):689-691
[17]付文,曹日芳,何晓燕,等.社区糖尿病患者的综合心理行为干预及情绪影响因素分析[J].中国健康心理学杂志,2016,24(11):1633-1637
[18]章志琼,吴育平,郭笑盈.心理护理干预对2型糖尿病患者血糖控制的影响分析[J].中国医药科学,2016,6(3):128-130+146
[2]段晓佳,金昌德,闫江楠.老年糖尿病患者口腔健康生活质量及影响因素[J].中华护理杂志.2015.50(3):313-317
[3]Mali A V,Bhise S S,Katyare S S,et al.Altered kinetics properties of erythrocyte lactate dehydrogenase in type II diabetic patients and its implications for lactic acidosis[J].Indian J Clin Biochem,2018,33(1):38-45
[4]陈玉凤,杨圣楠,楼青青.糖尿病相关心理痛苦的研究进展[J].中华护理杂志,2015,50(3):354-359
[5]Gualtero S M,Abril L A,Camelo N,et al.Characteristics of Clostridium difficile infection in a high complexity hospital and report of the circulation of the NAP1/027hypervirulent strain in Colombia[J].Biomedica,2017,37(4):466-472
[6]金珠,陈鸣明,沈凤萍,等.糖尿病患者心理痛苦与应对方式及授权能力的相关性研究[J].护理管理杂志,2016,16(3):166-168
[7]杨月兰,张海云,李晓英,等.心理护理和健康教育对糖尿病患者(上接第391页)焦虑、抑郁情绪的疗效[J].国际精神病学杂志,2016,43(6):1148-1151
[8]张俊英,张永珍,姜庆伟,等.糖尿病患者心理安全感与情绪状态、C肽关系[J].中国健康心理学杂志,2016,24(11):1630-1633
[9]赵蔓,孙春荣.2型糖尿病患者心理弹性与自我管理行为的关系研究[J].齐鲁护理杂志,2017,23(3):34-36
[10]Gawandi S,Gangawane S,Chakrabarti A,et al.A study of Microalbuminuria(MAU)and Advanced Glycation End Products(AGEs)levels in diabetic and hypertensive subjects[J].Indian JClin Biochem,2018,33(1):81-85
[11]王挺,蒙有华,彭春梅.提升希望感的心理护理策略对糖尿病疗效的影响[J].中国健康心理学杂志,2016,24(12):1865-1868
[12]王媛,李荣,张会敏.积极心理干预对2型糖尿病患者主观幸福感的影响[J].中国健康心理学杂志,2016,24(9):1284-1287
[13]何莲芬,樊玲玲,邓怡,等.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):155-158
[14]Abramoff M D,Fort P E,Han I C,et al.Approach for a clinically useful comprehensive classification of vascular and neural aspects of diabetic retinal disease[J].Invest Ophthalmol Vis Sci,2018,59(1):519-527
[15]Kim M,Lee H,Hwang S Y,et al.Azole resistance caused by increased drug efflux in candida glabrata isolated from the urinary tract of a dog with diabetes mellitus[J].Mycobiology,2017,45(4):426-429
[16]杨圣楠,朱元媛,楼青青.2型糖尿病患者生存质量及其与糖尿病心理痛苦的关系[J].护理管理杂志,2015,15(10):689-691
[17]付文,曹日芳,何晓燕,等.社区糖尿病患者的综合心理行为干预及情绪影响因素分析[J].中国健康心理学杂志,2016,24(11):1633-1637
[18]章志琼,吴育平,郭笑盈.心理护理干预对2型糖尿病患者血糖控制的影响分析[J].中国医药科学,2016,6(3):128-130+146