[早期心理干预对初发糖尿病患者的疗效研究]糖尿病患者生活方式干预处方

　　[摘要] 目的 探讨早期心理干预对糖尿病患者心理及疗效的影响。 方法 将我院收治并诊断为初发的2型糖尿病的68例患者随机分为干预组和对照组，每组34例，两组患者均采用常规的降糖药物治疗，同时干预组患者给予每周1次的心理干预治疗，每次时间20～30 min，疗程6周，治疗前后分别应用Zung自评抑郁量表、Zung自评焦虑量表、症状自评量表（SCL-90）对患者进行评估，并测定两组患者治疗前后空腹血糖（FBG）变化情况。 结果 ①治疗前两组患者Zung自评抑郁量表、Zung自评焦虑量表的总评分比较，差异无统计学意义（P > 0.05）；治疗后干预组患者Zung自评抑郁量表、Zung自评焦虑量表的总评分与治疗前及对照组比较有所降低，差异有统计学意义（P 0.05）；治疗后干预组FBG为（8.0±2.0）mmol/L，对照组FBG为（8.9±1.8）mmol/L，两组比较差异有统计学意义（P 0.05); compared with control group and before treatment, total average score of Zung"s Self-Rating Depression Scale and Zung"s self rating anxiety scale of patients in the intervention group was decreased after treatment, there was significant different (P 0.05); after treatment, the intervention group FBG was (8.0±2.0) mmol/L, the control group FBG was (8.9±1.8)mmol/L, there was significant difference between the two groups (P < 0.05). Conclusion Early psychological intervention for patients can help to improve the patients with depression, anxiety situation, and improve the therapeutic effect.