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目的 分析心理干预联合健康教育对糖尿病患者慢性病管理工作质量、糖尿病控制的效果.方法 选择本院符合条件的糖尿病患者288例,采取随机数字法将其分为实验组和对比组,各144例,实验组开展心理干预联合健康教育进行慢性病管理,对比组采用传统慢性病管理,对比两组生理质量评分、满意度评分、并发症发病率等指标差异.结果 实验组生活质量评分总分86.02±9.65分,对比组生活质量评分总分72.56±10.56分,实验组抑郁自评量表(SDS)、焦虑自评量表(SAS)、匹兹堡睡眠质量指数(PSQI)评分较对比组显著下降,护理满意度评分较对比组更高,实验组并发症发病率2.08％,对比组并发症发病率11.11％,实验组护理后的空腹血糖、餐后2h血糖、糖化血红蛋白、体质指数指标均显著低于对比组,以上差异均有统计学意义(P＜0.05).结论 对糖尿病患者开展慢性病管理的效果较高,开展心理干预联合健康教育,能够显著改善患者的慢性病管理效果,对患者各指标的改善作用显著,值得临床应用.“,”Objective To analyze the effect of psychological intervention combined with health education on the quality of chronic disease management and diabetes control in patients with diabetes. Methods 288 cases of diabetes mellitus who met the criteria were selected and randomly divided into experimental group and contrast group, 144 cases in each group. The experimental group was given psychological intervention and health education for chronic disease management, and the traditional chronic disease management group was compared with two groups in terms of physiological quality score, satisfaction score and incidence rate of complications. Results The total score of quality of life in the experimental group 86.02±9.65 was significantly higher than that in the control group self-rating depression scale (SDS) score, self-rating anxiety scale (SAS) scale and Pittsburgh sleep quality index (PSQI) scale, and the total score of life quality score 72.56±10.56 was significantly lower in the experimental group than in the contrast group. The incidence rate of complications in the experimental group was 2.08％, and the incidence rate of complications in the comparison group was 11.11％. Hour blood glucose, glycosylated hemoglobin, body mass index were significantly lower than the control group, the difference was statistically significant (P＜0.05). Conclusion The effect of carrying out chronic disease management for patients with diabetes is higher. Carrying out psychological intervention combined with health education can significantly improve the effect of chronic disease management for patients, and has a significant improvement effect on patients and other indicators, which is worthy of clinical application.