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目的了解老年2型糖尿病患者初诊后1a内的血糖与心理状态变化状况。方法对48例老年2型糖尿病患者在初诊时、3个月、6个月、12个月进行血糖及心理健康状态的随访测评。结果初诊时空腹血糖(FPG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbA1C)分别为(9.48±2.67)mmol/L、(13.49±4.79)mmol/L、(8.89±2.74)%,3个月后分别下降至(7.35±2.47)mmol/L、(10.01±3.14)mmol/L、(6.75±2.14)%;初诊时患者心理幸福感、生活满意度评分较低,抑郁、孤独感、疑病性、焦虑状态明显,3个月后随血糖水平下降,各项心理健康状态评分显著升高,负性情绪减轻;6个月与12个月后血糖及心理健康状态基本稳定。结论老年2型糖尿病患者初诊时的心理健康状态较差,是进行心理干预的重要阶段,血糖的良好控制能促进心理健康状态的改善。
Objective To understand the changes of blood glucose and psychological status in elderly patients with type 2 diabetes mellitus after first visit. Methods Forty-eight elderly patients with type 2 diabetes mellitus were assessed for follow-up of blood glucose and mental health at the time of first visit, 3 months, 6 months and 12 months. Results The fasting blood glucose (FPG), postprandial 2h blood glucose (2hPG) and HbA1C were (9.48 ± 2.67) mmol / L, (13.49 ± 4.79) mmol / L and (8.89 ± 2.74)%, (7.35 ± 2.47) mmol / L, (10.01 ± 3.14) mmol / L and (6.75 ± 2.14)% respectively in the first trimester after the first trimester of pregnancy. The scores of psychological well-being, Dyspnea and anxiety were obvious. With the decrease of blood glucose level after 3 months, scores of mental health status increased significantly and negative emotions decreased. Blood glucose and mental health status remained stable after 6 and 12 months. Conclusion Mental health status of patients with type 2 diabetes mellitus in the first visit is poor, which is an important stage of psychological intervention. Good control of blood sugar can promote the improvement of mental health status.