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目的探讨2型糖尿病心理障碍综合干预效果。方法从南山区人民医院荔湾社区健康服务中心选取100例有心理障碍的2型糖尿病患者,随机分为对照组和观察组,每组各50例,对其心理状态进行评估。对照组行常规干预,观察组则在此基础上行增加心理辅导等综合干预,比较两组患者的临床治疗效果和健康行为。结果 (1)干预后,两组患者的SAS和SDS评分均有显著改善,且观察组的两项指标均优于对照组,差异有统计学意义(P<0.05);(2)两组患者的FPG和2hPG水平均明显降低,且观察组明显低于对照组,差异有统计学意义(P<0.05);(3)观察组的各项健康行为指标均明显优于对照组,差异有统计学意义(P<0.05)。结论根据2型糖尿病患者的心理障碍给予综合干预,可以有效改善治疗效果,增强其健康行为,促进转归,适合临床推广。
Objective To investigate the effect of comprehensive intervention on type 2 diabetes mellitus. Methods 100 cases of type 2 diabetes mellitus with mental disorder were selected from Nanshan District People’s Hospital of Liwan Community Health Service Center and randomly divided into control group and observation group, with 50 cases in each group. Their psychological status was evaluated. The control group underwent routine intervention, and the observation group was given comprehensive counseling such as psychological counseling on the basis of this, and the clinical effects and health behaviors of the two groups were compared. Results (1) SAS and SDS scores of both groups were significantly improved after intervention, and both indexes in the observation group were better than those in the control group (P <0.05). (2) The levels of FPG and 2hPG in the observation group were significantly lower than those in the control group (P <0.05); (3) The health behavior indicators in the observation group were significantly better than those in the control group Significance (P <0.05). Conclusion According to the psychological intervention of patients with type 2 diabetes, comprehensive intervention can effectively improve the therapeutic effect, enhance their health behavior, promote the prognosis, and be suitable for clinical promotion.