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目的:探讨心理治疗对糖尿病患者后期康复的作用效果。方法:将符合糖尿病诊断标准的35例糖尿病患者随机分为实验组(18例)和对照组(17例),实验组采用常规药物治疗和定期心理治疗,对照组采用常规药物治疗。在实验前后分别对两组患者进行36项简式健康调查问卷(SF-36)、汉密尔顿抑郁量表(HAMA)检测,观察两组前后分值变化情况。结果:SF-36在实验组的前测和后测分值有显著性差异(P<0.01),对照组的前后测分值无显著性差异。HAMD显示:实验组在睡眠困难、早醒、工作和兴趣、全身症状、疑病等项均有改善(P<0.05),在忧郁情绪、入睡困难、精神和躯体性焦虑等项有显著改善(P<0.01);对照组只有工作和兴趣、疑病有所改善(P<0.05)。结论:心理治疗能提高糖尿病患者的生活质量,对糖尿病患者的康复治疗有明显的促进作用。
Objective: To investigate the effect of psychotherapy on the later rehabilitation of diabetic patients. Methods: Thirty-five diabetic patients meeting the diagnostic criteria of diabetes were randomly divided into experimental group (n = 18) and control group (n = 17). The experimental group was treated with regular drug therapy and regular psychological therapy while the control group was treated with conventional drugs. Before and after the experiment, 36 items of simple health questionnaire (SF-36) and Hamilton Depression Rating Scale (HAMA) were tested in both groups to observe the changes of scores before and after the two groups. Results: SF-36 in the experimental group before and after the test scores were significantly different (P <0.01), the control group before and after the score was no significant difference. HAMD showed that the experimental group improved significantly (P <0.05), such as difficulty in sleep, early awakening, work and interest, general symptoms and suspicion of illness (P <0.05), and had significant improvement in depression, difficulty falling asleep, mental and physical anxiety P <0.01). The control group only had work and interest, and the suspicion had been improved (P <0.05). Conclusion: Psychotherapy can improve the quality of life of patients with diabetes, and has a significant role in the rehabilitation of patients with diabetes.