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刘宇, 秦月兰, 何国平, 霍然. 2型糖尿病合并抑郁患者中西医结合社区干预效果[J]. 中国公共卫生, 2011, 27(8): 1066-1068. DOI: 10.11847/zgggws-2011-27-08-61
引用本文: 刘宇, 秦月兰, 何国平, 霍然. 2型糖尿病合并抑郁患者中西医结合社区干预效果[J]. 中国公共卫生, 2011, 27(8): 1066-1068. DOI: 10.11847/zgggws-2011-27-08-61
LIU Yu, QIN Yue-lan, HE Guo-ping, . Effect of integrative traditional Chinese medicine and western medicine intervention on patients with type 2 diabetes and co-morbid depression in community[J]. Chinese Journal of Public Health, 2011, 27(8): 1066-1068. DOI: 10.11847/zgggws-2011-27-08-61
Citation: LIU Yu, QIN Yue-lan, HE Guo-ping, . Effect of integrative traditional Chinese medicine and western medicine intervention on patients with type 2 diabetes and co-morbid depression in community[J]. Chinese Journal of Public Health, 2011, 27(8): 1066-1068. DOI: 10.11847/zgggws-2011-27-08-61

2型糖尿病合并抑郁患者中西医结合社区干预效果

Effect of integrative traditional Chinese medicine and western medicine intervention on patients with type 2 diabetes and co-morbid depression in community

  • 摘要: 目的 评价中西医结合社区干预对2型糖尿病合并抑郁患者的生活质量、抑郁状态及糖化血红蛋白的影响。方法 将北京市社区130例2型糖尿病合并抑郁患者分为3组:中西医结合组(43例)在社区医院门诊就医基础上接受社区护理及中医干预措施,包括练习健身气功.八段锦、耳穴贴压及中医饮食疗法指导,社区护理组(44例)在社区医院门诊就医基础上接受社区护理,基础治疗组(43例)在社区医院门诊就医;干预前、干预第6周、第12周对3组进行生活质量(DMQLS)、抑郁状态(SDS)评价并检测糖化血红蛋白(HbA1c),比较3组不同时间点各项指标的变化。结果 经过12周干预后,中西医结合组总体生活质量、心理维度、满意度维度得分高于社区护理组及基础治疗组(F值分别为13.528,17.892,8.899,P<0.001),中西医结合组SDS总分低于社区护理组及基础治疗组(F=10.419,P<0.001);中西医结合组患者HbA1c均值低于基础治疗组(F=3.159,P<0.05),且中西医结合组自身前后比较,第12周较干预前下降(t=4.731,P<0.001)。结论 中西医结合社区干预可改善2型糖尿病合并抑郁患者的生活质量,尤其是在心理状态与满意度方面,亦可减轻其抑郁程度,帮助患者控制血糖水平。

     

    Abstract: Objective To explore the effects of integrative traditional Chinese medicine and western medicine intervention on quality of life(QOL),depression symptom,and main biochemical parameters among the patients with type 2 diabetes melltius(T2DM)comorbid depression in community. Methods Totally 130 patients with T2DM and comorbid depression were divided into three groups randomly.The integrative traditional Chinese and western medicine group(n=43)received routine community health nursing and traditional Chinese medicine(TCM),including Qigong.Baduanjin,ear acupressure, and TCM diebetic therapy.The community health care group(n=44)received routine community health nursing.The control group(n=43)received guidance from the doctor in consulting room of community hospital only.QOL(quality of life scale for patients with T2 DM,DMQLS)and depression(Self-rating Depression Scale,SDS)and glycosylated hemoglobin (HbA1c)of the three groups were evaluated at baseline and 6th and 12th week of the imtervention. Results At 12th week, the total score,psychlological domain and satisfaction domain score in DMQLS of integrative TCM and western medicine group were higher than those of community health care group and control group(F=13.528,17.892,8.899,P<0.001). The SDS score of integrative TCM and western medicine group was lower than that of community health care group and control group(F=10.419,P<0.001).HbA1c of integrative TCM and western medicine group was lower than that of control group(F=3.159,P<0.05).Compared with the baseline,HbA1c of integrative TCM and western medicine group was lower at 12th week(t=4.731,P<0.001). Conclusion Among the patients with T2DM and comorbid depression, integrative TCM and western medicine community health care can promote their QOL and relieve their depression symptoms as well as stabilize their blood glucose.

     

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