不同护理干预措施对2型糖尿病合并抑郁患者的生活质量、抑郁状态及糖化血红蛋白的影响

刘红

[摘要]目的 探讨不同护理干预措施对2型糖尿病合并抑郁患者的生活质量、抑郁状态及糖化血红蛋白的影响。方法 选取该院于2013年1月—2014年1月收治的110例2型糖尿病合并抑郁患者作为研究对象，随机分为对照组和观察组，各组55例，对照组患者均采用常规社区护理，观察组患者在此基础上增加中医护理的干预措施，分别护理6周及12周后，比较两组患者的生活质量改善情况、抑郁状态及糖化血红蛋白的变化。结果 两组患者的DMQLS较治疗前均有明显提高，两组患者的SDS评分较治疗前均有明显降低，两组DMQLS、SDS比较差异有统计学意义（P<0.05）；两组患者治疗后的HbA1c水平比较差异有统计学意义（P<0.05）。结论 对糖尿病患者实施社区常规护理基础上的中医护理干预措施，改善了患者的生活质量，减轻了患者的抑郁程度，同时也有效控制了糖化血红蛋白水平，值得临床推广应用。

[关键词]中西医；社区护理干预；2型糖尿病；抑郁；生活质量；糖化血红蛋白

[中图分类号]R5 [文献标识码]A [文章编号]1674-0742（2015）04（b）-0147-03

Effect of Different Nursing Intervention Measures on the Quality of Life， Depression and Glycosylated Hemoglobin of Patients with Type 2 Diabetes and Depression

LIU Hong

Shengli Petroleum Administrative Bureau Petrochemical Health Hospital， Dongying， Shandong Province， 257000 China

[Abstract] Objective To investigate the effect of different nursing intervention measures on the quality of life， depression and glycosylated hemoglobin of patients with type 2 diabetes and depression. Methods 110 cases with type 2 diabetes and depression admitted in our hospital from January 2013 to January 2014 were selected as the subjects and randomly divided into the control group and observation group with 55 cases in each. The control group were treated by the conventional community nursing， and the observation group were treated by the TCM nursing measures based on the conventional community nursing. And the improvement in quality of life and depression and changes in glycosylated hemoglobin were compared between the two groups 6 weeks and 12 weeks after nursing. Results The DMQLS increased and SDS scores decreased obviously in both groups compared with those before treatment； the differences in DMQLS and SDS scores between the two groups were statistically significant（P<0.05）； the difference in the level of HbA1c after treatment between the two groups was statistically significant（P<0.05）. Conclusion For diabetic patients， TCM nursing intervention measures based on the conventional community nursing improve the quality of life， reduce the degree of depression， effectively control the level of glycosylated hemoglobin， therefore they are worthy of clinical application and promotion.

[Key words] Traditional Chinese and western medicine； Community nursing intervention； Type 2 diabetes； Depression； Quality of life； Glycosylated hemoglobin

1 资料与方法

1.1 一般资料

选取该院于2013年1月—2014年1月收治的110例2型糖尿病合并抑郁患者作为研究对象，所有患者均符合1997年WHO和美国糖尿病学会有关2型糖尿病诊断新标准[1]，排除伴有严重心、肺、肾等脏器功能疾病、出现严重感染、患有糖尿病急性并发症者。随机分为观察组、社区护理干预组，各组55例，其中，观察组男28例，女27例，年龄45～78岁，平均年龄（52.4±2.3）岁，病程5～9个月，平均病程（6.1±2.2）月。对照组男29例，女26例，年龄44～79岁，平均年龄（50.3±3.4）岁，病程4～8个月，平均病程（5.9±2.3）月。两组患者在性别、年龄、并发症、病程及餐后2 h血糖等一般资料比较（P>0.05），具有可比性。

1.2 方法

所有患者均接受常规护理，即在社区医院门诊就医，观察组在社区医院门诊就医的基础上接受社区干预措施，开展糖尿病健康教育：1次/2周，连续开展6次，教育内容主要包括糖尿病基础知识、药物知识（包括药物的种类、服药方法、胰岛素的使用及保存方法及药物不良反应等）及并发症的预防及护理等；心……