首页|认知行为疗法对社区2型糖尿病伴轻中度焦虑抑郁患者情绪干预效果研究

认知行为疗法对社区2型糖尿病伴轻中度焦虑抑郁患者情绪干预效果研究

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目的 探讨认知行为疗法对社区2型糖尿病伴发轻中度焦虑抑郁患者情绪干预效果.方法 选取2021年10月-2022年6月来北京市西城区社区卫生服务中心就诊的2型糖尿病患者,采用广泛性焦虑量表(GAD-7)和抑郁量表(PHQ-9)筛选出合并轻中度焦虑抑郁患者83例,根据随机数字表法分为对照组42例和试验组41例,对照组给予糖尿病常规管理,试验组在对照组基础上进行认知行为疗法,疗程6个月.比较两组治疗前后GAD-7得分和PHQ-9得分差异及血糖控制水平.结果 干预后,试验组GAD-7得分[干预前(3.29±3.72)分,干预后(2.17±2.98)分]和PHQ-9得分[干预前(7.20±2.91)分,干预后(3.17±3.38)分]明显下降,GAD-7得分在干预前后比较差异有统计学意义(P<0.05),PHQ-9得分在干预前后比较差异有统计学意义(P<0.01);试验组糖化血红蛋白水平[干预前(7.06±1.48)%,干预后(6.57±1.01)%]在干预前后比较差异有统计学意义(P<0.01),血肌酐水平[干预前(61.16±19.79)umol/L,干预后(63.67±18.59)umol/L]在干预前后比较差异有统计学意义(P<0.05).结论 认知行为疗法可能会改善社区2型糖尿病伴轻中度焦虑抑郁患者情绪状态,有利于患者心理健康,更有助于血糖的调控.
Effect of cognitive behavioral therapy on emotional intervention among type 2 diabetes patients with mild to moderate anxiety and depression in community
Objective To explore the effect of cognitive behavioral therapy on emotion intervention among type 2 di-abetes patients with mild to moderate anxiety and depression in community.Methods Patients with type 2 diabetes who came to Xicheng District Community Health Service Center from October 2021 to June 2022 were selected.The generalized anxiety scale(GAD-7)and depression scale(PHQ-9)were used to assess the anxiety and depression status of patients.According to the random number table,83 patients with mild and moderate anxiety and depression were selected and randomly divided into control group(42 cases)and intervention group(41 cases).The control group was given routine management of diabetes,and the intervention group was given cognitive behavioral therapy based on routine management,both of them had 6-months course of treatment.The differences in GAD-7 and PHQ-9 scores and blood glucose control levels between the two groups before and after treatment were compared.Results After the intervention,the GAD-7 score[(3.29±3.72)points before interven-tion,(2.17±2.98)points after intervention]and PHQ-9 score[(7.20±2.91)points before intervention,(3.17±3.38)points after intervention]in the intervention group significantly decreased.The GAD-7 score showed a statistically significant difference before and after intervention(P<0.05),and the PHQ-9 score showed a statistically significant difference before and after intervention(P<0.01).The levels of glycated hemoglobin in the intervention group[(7.06±1.48)%before in-tervention and(6.57±1.01)%after intervention]showed statistically significant differences before and after intervention(P<0.01),while the levels of blood creatinine[(61.16±19.79)umol/L before intervention and(63.67±18.59)umol/L after intervention]showed statistically significant differences before and after intervention(P<0.05).Conclusion Cogni-tive behavioral therapy may improve the emotional state of type 2 diabetes patients with mild to moderate anxiety and depression in community,which is beneficial to mental health of patients and is more conducive to the regulation of blood sugar.

Type 2 diabetesAnxietyDepressionInterventionEffect

邓兰兰、张燕、李春玲

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北京市西城区白纸坊社区卫生服务中心,北京 100053

2型糖尿病 焦虑 抑郁 干预 效果

北京科技新星项目

XWKX2022-14

2024

中国健康教育
中国健康教育中心 中国健康促进与教育协会

中国健康教育

CSTPCD北大核心
影响因子:1.261
ISSN:1002-9982
年,卷(期):2024.40(7)
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