摘要
目的研究心理干预联合中西医结合治疗对糖尿病伴精神障碍病人的临床效果。方法选取我院在2014年1月至2016年6月期间收治的128例糖尿病伴精神障碍病人作为研究对象,按照计算机随机序列法将病人分为2组,每组64例。对照组病人给予常规西医降血糖,观察组病人实施心理干预联合中西医药物治疗,比较2组病人的血糖变化情况、抑郁评分、睡眠质量指数、生活质量评分。结果治疗后,观察组病人的空腹血糖、餐后2 h血糖、糖化血红蛋白、抑郁评分、睡眠质量指数均较治疗前明显降低(P<0.05),且均低于治疗后的对照组病人(P<0.05);观察组病人的生活质量总分及各项因子得分均较对照组更高(P<0.05)。结论采用中西医药物对糖尿病伴精神障碍病人进行治疗,并辅以有针对性的心理干预措施,有利于控制病人血糖水平,改善病人的心理状态、睡眠质量以及生活质量。
Objective To study the clinical effect of psychological intervention combined with combination of Chinese and western medicine treatment on diabetes mellitus with mental disorders. Methods 128 cases of diabetic patients with mental disorders treated in our hospital from April 2014 to June 2016 were selected as the study subjects. The patients were divided into two groups according to the computer random sequence method, with 64 cases in each group. The patients in control group were treated with conventional western medicine, and the patients in observation group were treated with psychological intervention combined with combination of Chinese and Western medicine treatment. The blood glucose changes, depression score, sleep quality index, quality of life score were compared between two groups. Results The fasting plasma glucose, 2 hours postprandial blood glucose, glycosylated hemoglobin, depression score, sleep quality index in the observation group after treatment were significantly lower than those before treatment （P〈0. 05）, and lower than those in the control group （P〈0. 05） ; The quality of life score and each factor score in the observation group were higher than thosein the control group （P〈 O. 05 ）. Conclusions Combination of traditional Chinese and western medicine and targeted psychological interventions are effective in controlling the patient＇s blood glucose, and improving the patient＇s mental state, sleep quality and life quality.
出处
《实用老年医学》
CAS
2017年第8期773-776,共4页
Practical Geriatrics
关键词
糖尿病
精神障碍
中西医结合疗法
心理干预
diabetes mellitus
mental disorder
combination of Chinese and western medicinetreatment
psychological intervention
