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认知行为疗法对糖尿病合并抑郁患者的效果

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目的 探讨认知行为疗法对糖尿病合并抑郁患者的干预效果.方法 本研究对象为2020年3月~2022年3月我院70例糖尿病伴抑郁患者,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17项(HAMD-17),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-17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、抑郁等负性情绪,并有助于控制血糖.
The effect of cognitive behavioral therapy on diabetes patients with depression
Objective To explore the intervention effect of cognitive behavioral therapy on on diabetes patients with depression.Methods Seventy diabetes patients with depression in our hospital from March 2020 to March 2022 were selected and 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 thera-py.The Hamilton Anxiety Scale(HAMA)and the 17-item Self-Rating Depression Scale(HAMD-17)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-17 scores in the two groups were significantly decreased compared with those before nursing,and the scores in the observation group 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 indexes in the observation group were significantly better than those in the control group after nursing(P<0.05).Conclusion Cognitive behavioral therapy can signifi-cantly reduce anxiety and depressive in diabetes patients with depression,and help to control their blood sugar levels.

Cognitive behavioral therapyDiabetesDepressionBlood sugar

郭凯歌、陈朝辉

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平煤神马医疗集团总医院(平顶山,467000)

河南大学第一附属医院

认知行为疗法 糖尿病 抑郁 血糖

河南省医学科技攻关计划

2018020325

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(2)
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