抑郁症伴发糖尿病的护理对生活质量的影响

崔涛

[摘要] 目的 分析不同护理干预对抑郁症伴发糖尿病患者生活质量的影响。 方法 选择该院收治的90例抑郁症伴发糖尿病患者作为该次研究主体（收治时间范围为2018年1—12月），将其随机分成对照组和研究组，每组45例，对照组实施常规护理，研究组实施综合护理，对比两组患者护理前后的焦虑、抑郁情绪评分、空腹血糖水平、生活质量评分及对护理工作的总满意率。 结果 焦虑、抑郁情绪评分、空腹血糖水平对比，护理前两组间差异无统计学意义（P>0.05），护理后，研究组显著低于对照组（P<0.05）;生活质量评分对比，护理前两组间差异无统计学意义（P>0.05），护理后，研究组显著高于对照组（P<0.05）;对护理工作的总满意率对比，研究组显著高于对照组（P<0.05）。 结论 对抑郁症伴发糖尿病患者实施综合护理，不仅能有效改善患者负性情绪，还能改善其机体血糖水平，从而有助于提高其预后生活质量。

[关键词] 抑郁症;糖尿病;护理;生活质量

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）05（b）-0161-03

Impact of Nursing Care for Depression and Diabetes on Quality of Life

CUI Tao

Outpatient Department of the Sixth People's Hospital of Jilin City， Jilin， Jilin Province， 132011 China

[Abstract] Objective To analyze the effect of different nursing interventions on the quality of life of patients with depression and diabetes. Methods Ninety patients with depression and diabetes admitted in the hospital were selected as the subjects of this study （range of treatment from January to December 2018）， and they were randomly divided into a control group and a study group， with 45 patients in each group. The control group performed conventional nursing， the research group implemented comprehensive nursing， and compared the anxiety， depression score， fasting blood glucose level， quality of life score， and total satisfaction rate of nursing work between the two groups. Results Anxiety， depression， and fasting blood glucose levels were compared. There was no significant difference between the two groups before nursing （P>0.05）. After nursing， the study group was significantly lower than the control group（P<0.05）. Comparison of quality of life scores before nursing had no significant difference between the two groups（P>0.05）. After nursing， the study group was significantly higher than the control group （P<0.05）; compared with the overall satisfaction rate of nursing work， the study group was significantly higher than the control group （P<0.05）. Conclusion Comprehensive nursing care for patients with depression and diabetes can not only effectively improve patients' negative emotions， but also improve their blood glucose levels， which can help improve their quality of life.

[Key words] Depression; Diabetes; Nursing; Quality of life

抑郁癥是一种以显著而持久的心境低落为主要临床特征的精神疾病，其不仅会引发患者出现心境低落、意志活动减退、思维迟缓、认知功能损害等症状，同时还易导致其生物节律失调、HPA轴功能异常，从而易诱发其发生糖尿病，糖尿病不仅会引发患者机体出现多种不适症状，同时还易加重其抑郁症病情进展，可见两种疾病存在相互影响和促进的关系，且会严重危害患者身心健康，需尽早治疗和干预[1]。目前，临床对抑郁症伴发糖尿病患者多采用抗精神类药物和降糖药物治疗，虽具有一定的效果，但单纯的治疗仍难以改善患者预后，对此，还需要临床探寻有效护理措施辅助治疗[2]。该文主要探究了综合护理对该院自2018年1—12月收治的45例抑郁症伴发糖尿病患者生活质量的影响，现报道如下。