钟菊++++++陈若凤++++++黄碧云++++++谢芹冰++++++郭桂梅

[摘要]目的 探讨联合家属健康干预对社区糖尿病伴抑郁症患者疗效的影响。方法 选取2014年10月～2015年12月于笔者所在社区的糖尿病伴抑郁症患者112例作为研究对象，根据护理方法的不同将患者分为研究组和对照组，各56例。对照组进行常规基础护理，研究组进行联合家属健康干预的护理模式。使用汉密尔顿抑郁评分量表（HAMD）评价患者干预前后的抑郁状况，比较两组患者干预前后空腹血糖、餐后2 h血糖、糖化血红蛋白及HAMD评分的差异。结果 干预前，两组空腹血糖、餐后2 h血糖、糖化血红蛋白水平比较，差异无统计学意义（P>0.05）；干预后，研究组患者空腹血糖、餐后2 h血糖、糖化血红蛋白水平分别为（5.76±1.23）mmol/L、（7.61±1.82）mmol/L、（5.01±1.04）%，均低于对照组（P<0.01）。两组干预前HAMD评分比较，差异无统计学意义（P>0.05），干预后，研究组HAMD评分低于对照组（P<0.01）。结论 联合家属健康干预对社区糖尿病伴抑郁症患效果好，能有效降低血糖水平，并减轻患者抑郁症程度，值得临床推广应用。

[关键词]家属健康干预；糖尿病；抑郁症；血糖

[中图分类号] R781.6+4 [文献标识码] A [文章编号] 1674-4721（2016）10（a）-0191-03

[Abstract]Objective To investigate efficacy of families health interventions combined attendance for community diabetes with depression patients.Methods In our community，112 cases of diabetes with depression patients as object of study from October 2014 to December 2015，and were divided into research group and control group，according to different method of nursing，56 cases in each group.The control group were treated with routine primary care，while research group were treated with families health interventions based on routine primary care.HAMD scale was used to assess patients′ depression level.The fasting blood glucose （FBG），2 h postprandial blood glucos （PBG），glycated hemoglobin level and HAMD score of two groups were compared.Results Before attendancethere was no significant difference between two groups in FBG，2 h PBG，glycated hemoglobin level and HAMD score （P>0.05）.The FBG[（5.76±1.23）mmol/L]，2 h PBG[（7.61±1.82）mmol/L]，glycated hemoglobin level[（5.01±1.04）%] of research group were lower than that of control group after attendance（P<0.01）.The HAMD score of research group after attendance was lower than those of control group（P<0.01）.Conclusion Families health interventions combined attendance has exact effect for community diabetes with depression patients.It helps to decrease blood sugar level and relieve depression.It′s worthy of clinical widely used.

[Key words]Families health interventions；Diabetes；Depression；Blood sugar

糖尿病是一种慢性疾病，我国糖尿病发生率高达9.21%，且发病率呈逐年上升趋势[1-3]。糖尿病由于无法根治，患者长期患病，导致组织器官慢性损害、功能障碍的同时对患者的心理带来了严重影响，很多患者出现抑郁症状[4]。治疗糖尿病合并抑郁症在控制患者血糖水平的同时，还需针对抑郁症状进行针对性地护理，医院护理工作不能完整地覆盖患者的日常生活，所以本研究在医院护理的基础上引入家属健康干预，选取我社区糖尿病伴抑郁症患者作为研究对象，旨在探讨联合家属健康干预对社区糖尿病伴抑郁症患者疗效的影响，现报道如下。