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40例糖尿病人的心理状况调查及其护理_护理学论文

发布时间:2014-10-14 来源:人大经济论坛
摘 要 目的 糖尿病患者存在较多的心理健康问题,在常规药物治疗的同时予以必要的心理干预及抗抑郁药物治疗对糖尿病的病情控制的疗效是肯定的,还可减少并发症及不良事件的发生,提高糖尿病患者的生活质量,使糖尿病患者及早恢复健康。本研究通过分析糖尿病老人的心理特点,制定针对性心理护理。 方法 研究对象为由我院内分泌病房确诊为糖尿病的40例老人。用Zung焦虑自评量表(SAS)、Zung抑郁自评量表(SDS),对40例糖尿病老人进行问卷调查,将测试结果与国内常模进行比较,并从不同性别、年龄、经济状况、文化程度、病程方面及干预前后进行心理状况的分析。 结果 糖尿病老人SAS评分(45.18±9.64)、SDS评分(51.81±12.18)与国内常模比较,差异有统计学意义(P<0.01),且男女之间、不同年龄段、文化程度、经济状况之间的SAS、SDS评分比较,差异具有统计学意义。31.7%的糖尿病老人有焦虑症状;19.5%糖尿病患者有抑郁症状;12.2%的患者同时有焦虑和抑郁症状。糖尿病患者的SAS、SDS总分受病程、有无并发症影响。实施针对性心理护理8周后,SAS、SDS总分都有显著下降(P<0.05)。 结论 糖尿病老人常存在焦虑、抑郁心理,且受性别、年龄、文化程度和经济状况的影响,加强糖尿病知识宣教,给予针对性心理护理是必要的。 关键词:糖尿病;心理护理;心理健康;SAS;SDS 论文类型:研究报告 Title: Study on The Psychological Pursing of Psychological Statuses Patients ABSTRACT Object: There are many mental health problems with diabetes, while conventional drug treatment be necessary psychological intervention and antidepressant drug treatment of diabetes disease control efficacy is yes, it can reduce complications and wells adverse events and improve quality of life of diabetic patients, diabetic patients in the early to recover. This study was to explore the path to increase the self-efficacy by analyzing the correlations ofself-efficacy and demographic data, knowledge on diabetes mellitus psychological state,social supports,disease control state as well as treatment measures in diabetes patients. Methods: 40 patients were recruited from hospital according to WHO type 2 diabetes mellitus diagnosis standard in 1 999.Those wim psychiatric disorders and malignant tumors were excluded in this study.The study was carried out by questionnaires,which included demographic data,diabetes related knowledge,self rating depressive scale,social supports rating scale and chronic disease self-efficacy. Results:Social supports and self-efficacy:univariate and multi—variable logistic regression analysis showed that social supports including objective and supports contributed to the increased the scale of self-efficacy.subjective Conclusions:Therefore,increasing efforts on directly intervention,mental nursing,social supports and health education are necessary to improve the scale of self-efficacy,which could further contribute to the effective treatments,delayed and controlled complications and improved quality of life. Key words:Diabetes mellitus;Psychological nursing; Psychological health Type of thesis: research report 目录 摘 要V ABSTRACTVI 1 绪论1 1.1背景及意义1 1.2目的及目标1 1.3关键词定义2 1.3.1 糖尿病2 1.3.2 心理护理2 1.3.3 心理健康2 1.3.4 SAS2 1.3.5 SDS2 1.4文献回顾2 1.4.1糖尿病研究现状2 1.4.2国外糖尿病患者心理学方面的研究3 1.4.3糖尿病对患者身心状态的影响4 1.4.4糖尿病患者的生活质量现状2 2 研究设计6 2.1研究设计6 2.2研究对象6 2.3研究方法6 2.4研究步骤7 2.5资料分析7 3.结果8 3.1焦虑、抑郁情况8 3.2糖尿病患者 SAS、SDS评分与国内常模比较8 3.3不同性别、经济状况的糖尿病患者 SAS、SDS评分比较8 3.4不同教育程度的糖尿病患者SAS、SDS评分比较8 3.5不同病程的糖尿病患者 SAS、SDS评分比较9 3.6心理护理8周后心理状况的变化9 4.讨论10 4.1糖尿病老人焦虑抑郁状况10 4.2影响糖尿病患者焦虑抑郁的相关因素10 4.2.1 不同性别、经济状况的糖尿病患者的焦虑抑郁状况10 4.2.2 不同教育程度的糖尿病患者焦虑抑郁状况10 4.2.3 不同病程的糖尿病患者的焦虑抑郁状况11 4.3老年糖尿病患者的心理干预方法11 5.推论与建议13 5.1推论13 5.2建议13 参考文献14 致谢15
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