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目的:评价社区糖尿病患者的综合心理行为干预效果,筛查患者情绪的影响因素。方法:选取76例糖尿病患者作为研究对象,在药物治疗不变前提下,辅以综合性心理行为干预,分别在干预前、干预后3个月进行生理指标、心理状况的测量随访,并进行比较。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、简易应对方式问卷(SCMQ)、社会支持量表(SSRS)对患者心理状况进行评估。结果:研究对象干预后焦虑(χ2=4.321,P=0.036)、抑郁阳性率降低(χ2=11.605,P=0.000);主观支持评分较干预前高(t=-2.074,P=0.042);积极应对维度评分较干预前高(t=-2.022,P=0.047)。回归结果显示,糖化血红蛋白对抑郁情绪存在影响。结论:1社区综合心理行为干预可以改善患者心理状况,生理指标改善不明显;2糖化血红蛋白是抑郁的影响因素。
Objective: To evaluate the effects of comprehensive psychological behavior intervention in patients with diabetes in community and to screen the influencing factors of patients’ emotions. Methods: Sixty-six patients with diabetes mellitus were enrolled in this study. Under the condition of unchanged drug treatment and comprehensive psychological behavior intervention, physiological indexes and psychological status were measured before intervention and 3 months after intervention, respectively, and compared . The anxiety self-rating scale (SAS), depression self-rating scale (SDS), simple coping style questionnaire (SCMQ) and social support scale (SSRS) were used to evaluate the psychological status of patients. Results: After intervention, anxiety (χ2 = 4.321, P = 0.036), positive rate of depression decreased (χ2 = 11.605, P = 0.000); subjective support score was higher than before intervention (t = -2.074, P = 0.042) The response scale was higher than before intervention (t = -2.022, P = 0.047). The regression results show that HbA1c affects depression. Conclusion: (1) Comprehensive psycho-behavioral intervention in community can improve the psychological status of patients without obvious improvement of physiological index; (2) HbA1c is the influencing factor of depression.