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目的了解社区内2型糖尿病(T2DM)患者对使用胰岛素(INS)抑郁和焦虑的状况,探讨认知疗法干预对焦虑、抑郁情感的影响。方法将使用INS的患者分为对照组和干预组,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对其进行评定,认知疗法干预6周后,再次对两组进行评定。结果 T2DM患者中使用INS抑郁、焦虑情绪评分显著高于我国国内常模;干预结束后,干预组患者抑郁、焦虑情绪得到明显改善,干预后与干预前比较,SAS、SDS评分有统计学意义(P<0.05)。结论社区内T2DM患者对使用INS普遍存在心理障碍,社区干预是必需的。认知疗法干预可以减轻患者的焦虑、抑郁症状,纠正患者的认知曲解,提高治疗依从性及治疗效果。
Objective To investigate the prevalence of depression and anxiety in type 2 diabetes mellitus (T2DM) in community using insulin and to explore the effect of cognitive therapy on anxiety and depression. Methods Patients with INS were divided into control group and intervention group. SAS and SAS were used to evaluate the patients. After 6 weeks of cognitive therapy intervention, the two groups were again treated assessment. Results The scores of depression and anxiety in patients with T2DM were significantly higher than those in China. After the intervention, depression and anxiety in the intervention group were significantly improved. SAS and SDS scores were significantly higher after intervention than before intervention P <0.05). Conclusion Community-based T2DM patients generally have psychological barriers to the use of INS, and community intervention is necessary. Cognitive therapy intervention can reduce anxiety and depressive symptoms in patients, correct cognitive distortions and improve treatment adherence and therapeutic effect.