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为探讨个性化心理干预对老年2型糖尿病合并高血压患者治疗的影响,文章将2012年6月-2013年6月本科确诊的老年2型糖尿病伴高血压患者收治的200例,随机平均分为研究组和对照组,2组患者均由2名以上医生根据患者病情给予正规降糖、降压口服药物治疗。研究组在正规药物治疗基础上,再根据患者不同年龄、文化层次采取个性化的心理干预。2组疗程12周,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估患者治疗前后的焦虑、抑郁程度,同时观测治疗前后2组患者的血压、血糖、糖化血红蛋白、低密度脂蛋白、腰臀比指标的变化情况。结果显示:2组在治疗前SAS和SDS评分无统计学差异;12周后研究组患者不仅SAS、SDS标准分与对照组比有显著差异(P<0.05),研究组血压、血糖、糖化血红蛋白、低密度脂蛋白、腰臀比与对照组相比差异显著(P<0.05)。说明应用适当的心理干预,对于老年性2型糖尿病伴高血压患者的生活质量并有效控制血压、血糖具有良好效果。
To investigate the effect of personalized psychological intervention on the treatment of elderly type 2 diabetes mellitus patients with hypertension, 200 cases of elderly type 2 diabetes mellitus with hypertension diagnosed in our department between June 2012 and June 2013 were randomly divided into The study group and the control group, two groups of patients by two or more doctors based on the patient’s condition to give regular hypoglycemic, antihypertensive oral drug treatment. The research group based on formal drug treatment, and then according to the patient’s age and culture level to take individualized psychological intervention. The two groups were treated for 12 weeks. SAS and SDS were used to evaluate the anxiety and depression before and after treatment. The blood pressure, blood glucose, HbA 1c, Density lipoprotein, waist-hip ratio changes in the index. The results showed that there was no significant difference in the score of SAS and SDS between the two groups before treatment. After 12 weeks, the SAS and SDS scores of the study group were significantly different (P <0.05). The blood pressure, blood glucose, glycosylated hemoglobin , Low density lipoprotein, waist-hip ratio compared with the control group, the difference was significant (P <0.05). Application of appropriate psychological intervention shows that the elderly with type 2 diabetes with quality of life in patients with hypertension and effective control of blood pressure, blood sugar has a good effect.