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目的:探讨通过微信方式进行心理干预治疗在2型糖尿病伴抑郁焦虑患者中的应用效果。方法:选择120例符合条件的住院糖尿病患者,随机分为对照组和干预组,对照组进行常规的糖尿病药物治疗、护理及教育,干预组在此基础上给予以合理情绪疗法为主的集体或个体心理干预治疗,干预期12个月。分别采用汉密尔顿抑郁量表(HAMD17项)、汉密尔顿焦虑量表(HAMA14项)、症状自评量表(SCL-90)及糖化血红蛋白(HbA1c)水平对两组进行评定。结果:实施干预前两组HAMD、HAMA、SCL-90评分及HbA1c水平无显著性差异(均P>0.05);干预后干预组HAMD、HAMA及SCL-90评分及HbA1c水平均明显低于对照组(均P<0.05)。结论:通过微信互动干预模式进行心理干预能显著改善糖尿病患者的抑郁、焦虑情绪,消除心理障碍,提高心理健康水平,改善糖代谢。
Objective: To explore the effect of using psychological intervention in the treatment of type 2 diabetes with depression and anxiety. Methods: A total of 120 eligible inpatients with diabetes mellitus were selected and randomly divided into control group and intervention group. The control group received conventional diabetes medication, nursing and education. On the basis of this, Individual psychological intervention, intervention period of 12 months. The Hamilton Depression Rating Scale (HAMD 17), Hamilton Anxiety Scale (HAMA 14), Symptom Checklist 90 (SCL-90) and HbA 1c levels were used to assess the two groups. Results: The levels of HAMD, HAMA, SCL-90 and HbA1c in the two groups before intervention were not significantly different (all P> 0.05). The levels of HAMD, HAMA, SCL-90 and HbA1c in the intervention group were significantly lower than those in the control group (All P <0.05). Conclusion: Psychological intervention through WeChat interactive intervention model can significantly improve the depression and anxiety of diabetic patients, eliminate psychological disorders, improve mental health and improve glucose metabolism.