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目的探讨小组治疗方法对Ⅱ型糖尿病患者心理状况及糖代谢的影响。方法将67名Ⅱ型糖尿病患者随机分为实验组(n=34)和对照组(n=33)。对照组采用降糖药物治疗,实验组在药物治疗的基础上进行小组治疗。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)分别于干预前和干预后第12周末评定两组患者情绪变化,同时进行空服血糖(FPG)、餐后2小时血糖(2HPG)、糖化血红蛋白(HbAlc)、血脂(TC、TG、HDL-C)的实验室检查。结果实验组干预后焦虑自评量表、抑郁自评量表评分明显低于对照组,差异有显著意义(P<0.01)。实验组干预后HbAlc、TG低于对照组,差异有显著性意义(P<0.05)。结论小组治疗对改善糖尿病患者的心理状况和糖代谢指标有积极作用。
Objective To investigate the effect of group therapy on psychological status and glucose metabolism in type 2 diabetic patients. Methods 67 type Ⅱ diabetic patients were randomly divided into experimental group (n = 34) and control group (n = 33). The control group was treated with hypoglycemic drugs, and the experimental group was treated on the basis of drug treatment. The anxiety self-rating scale (SAS) and depression self-rating scale (SDS) were used to assess the emotional changes of the two groups before intervention and at the end of the twelfth week after intervention. At the same time, the blood glucose (FPG), 2-hour postprandial blood glucose 2HPG), glycosylated hemoglobin (HbAlc), lipids (TC, TG, HDL-C) laboratory tests. Results After intervention, the self-rating anxiety scale and self-rating depression scale in the experimental group were significantly lower than those in the control group (P <0.01). The levels of HbA1c and TG in experimental group were significantly lower than those in control group (P <0.05). Conclusion The group therapy has a positive effect on improving the psychological status and glucose metabolism of diabetic patients.