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目的研究健康教育与心理干预对妊娠期糖尿病合并抑郁患者的影响。方法选取2012年7月1日-2015年12月31日来天津市大港油田总医院诊治的妊娠期糖尿病患者212例,采用Zung抑郁自评量表(SDS)对妊娠期糖尿病患者进行测评,将抑郁指数≥0.5的96例患者随机分为健康教育组32例,健康教育+心理干预组32例,只进行日常保健的32例患者设为对照组。健康教育组在日常保健的同时进行为期4个月健康教育保健,健康教育+心理干预组是在健康教育组的基础上加心理干预,3组分别于治疗前、治疗后进行抑郁自评量表及代谢控制水平测评。结果 (1)健康教育组SDS评分为(44.3±3.4)分,日常保健组的SDS评分为(52.1±4.4)分。两组相比,健康教育组较日常保健组,妊娠期糖尿病合并抑郁患者抑郁指数均显著下降(P<0.05)。(2)健康教育+心理干预组评分为(40.1±3.2)分,较健康教育及日常保健组,妊娠期糖尿病合并抑郁患者抑郁指数更为显著下降(P<0.05)。结论健康教育与心理干预较日常保健能显著改善妊娠期糖尿病合并抑郁患者的抑郁指数,提高患者的生活质量。因此,在妊娠期糖尿病合并抑郁患者保健中应重视健康教育与心理干预。
Objective To study the effects of health education and psychological intervention on patients with gestational diabetes mellitus complicated with depression. Methods A total of 212 cases of gestational diabetes diagnosed and treated by Tianjin Dagang Oilfield General Hospital from July 1, 2012 to December 31, 2015 were selected and their gestational diabetes mellitus were evaluated by using Zung depression self-rating scale (SDS) 96 patients with depression index≥0.5 were randomly divided into health education group (n = 32), health education + psychological intervention group (n = 32) and routine health care (n = 32) as control group. Health Education Group in the daily health care at the same time for a period of 4 months health education, health education + psychological intervention group is based on the health education group with psychological intervention, respectively, three groups before treatment, after treatment depression self-rating scale And metabolic control level evaluation. Results (1) The SDS score of health education group was (44.3 ± 3.4) and that of routine care group was (52.1 ± 4.4). Compared with the two groups, the depression index of health education group was significantly lower than that of daily health care group and gestational diabetes mellitus with depression (P <0.05). (2) The score of health education + psychological intervention group was (40.1 ± 3.2) points, which was significantly lower than that of health education and daily health care group (P <0.05). Conclusion Compared with routine health care, health education and psychological intervention can significantly improve the depression index of patients with gestational diabetes mellitus and depression, and improve the quality of life of patients. Therefore, in patients with gestational diabetes mellitus and depression should pay attention to health education and psychological intervention.