健康教育對住院 2 型糖尿病患者焦慮抑郁的影響_West China Medical Journal

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陳璐 , 劉素蓉

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Keywords：

2型糖尿病; 焦慮; 抑郁

DOI：

10.7507/1002-0179.20130602

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目的　調查住院2型糖尿病患者焦慮、抑郁的發病率，并探討健康教育的治療效果。方法　對2009年1月－2012年5月住院診斷為2型糖尿病的695例患者進行焦慮、抑郁調查，并針對焦慮、抑郁情況進行健康教育，出院時再進行評估，并就健康教育的效果和作用進行評價。結果　住院2型糖尿病患者中22.45%存在焦慮，11.37%存在抑郁，健康教育后焦慮患者較入院時明顯減少（P＜0.05），特別是輕中度焦慮患者效果明顯，重度焦慮患者則無明顯改善；而對抑郁患者的療效均較差，特別是對中重度抑郁患者無效。結論　焦慮、抑郁在住院2型糖尿病患者中發病率較高，健康教育對輕、中度焦慮患者治療有效。

Citation： 陳璐,劉素蓉. 健康教育對住院 2 型糖尿病患者焦慮抑郁的影響. West China Medical Journal, 2013, 28(12): 1906-1908. doi: 10.7507/1002-0179.20130602 Copy

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1. 　Yang WY, Lu JM, Weng JP, et al. Prevalence of diabetes among men and women in China[J]. N Engl Med, 2010, 362(12): 1090-1101.
2. 　Lee S, Chiu A, Tsang A. Treatment-related stresses and anxiety-depressive symptoms among Chinese outpatients with type 2 diabetes mellitus in Hong Kong[J]. Diabetes Res Clin Pract, 2006, 74(3): 282-288.
3. 　Brown DW, Balluz LS, Giles WH, et a1. Diabetes mellitus and health-related quality of life among older adults findings from the behavioral risk factor surveillance system[J]. Diabetes Res Clinl Prac, 2004, 65(2): 105-115.
4. 　吳小和, 賀祖輝, 張程楨. 糖尿病患者焦慮抑郁情緒與生活質量相關性研究[J]. 臨床心身疾病雜志, 2010, 16(4): 297-299.
5. 　Collins MM, Corcoran P, Perry IJ. Anxiety and depression symptoms in patients with diabetes[J]. Diabet Med, 2009, 26(2): 153-161.
6. 　Wu SF, Young LS, Yeh FC, et a1．Correlations among social support, depression, and anxiety in patients with type-2 diabetes[J]. J Nurs Res, 2013, 21(2): 129-138.
7. 　Wu SF, Huang YC, Liang SY, et al. Relationships among depression, anxiety, self-care behaviour and diabetes education difficulties in patients with type-2 diabetes: a cross-sectional questionnaire survey[J]. Int J Nurs Stud, 2011, 48(11): 1376-1383.
8. 　Snoek FJ, Hogenelst MH. Psychological implications of diabetes mellitus[J]. Ned Tijdschr Geneeskd, 2008, 152(44): 2395-2399.
9. 　陳湘, 譚子強. 2型糖尿病焦慮、抑郁調查及對糖尿病治療效果的影響[J]. 醫學臨床研究, 2010, 27(8): 1454-1455.
10. 　魯萍. 護理干預對糖尿病心理障礙的影響[J]. 實用糖尿病雜志, 2006, 14(2): 33-34.
11. 　孫玉霞, 劉佳妮, 唐曉麗, 等. 健康教育對2型糖尿病伴抑郁癥患者的治療分析[J]. 華西醫學, 2012, 27(3): 440-441.
12. 　Tuncay T, Musabak I, Gok DE, et al. The relationship between anxiety, coping strategies and characteristics of patients with diabetes[J]. Health Qual Life Outcomes, 2008, 79(6): 1-9.

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West China Medical Journal

健康教育對住院 2 型糖尿病患者焦慮抑郁的影響

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