40例糖尿病人的心理狀況調(diào)查及其護(hù)理

論文編號(hào):HL157  論文字?jǐn)?shù):11338.頁(yè)數(shù):21

 摘 要
 目的
 糖尿病患者存在較多的心理健康問(wèn)題，在常規(guī)藥物治療的同時(shí)予以必要的心理干預(yù)及抗抑郁藥物治療對(duì)糖尿病的病情控制的療效是肯定的，還可減少并發(fā)癥及不良事件的發(fā)生，提高糖尿病患者的生活質(zhì)量，使糖尿病患者及早恢復(fù)健康。本研究通過(guò)分析糖尿病老人的心理特點(diǎn)，制定針對(duì)性心理護(hù)理。
 方法
 研究對(duì)象為由我院內(nèi)分泌病房確診為糖尿病的40例老人。用Zung焦慮自評(píng)量表(SAS)、Zung抑郁自評(píng)量表(SDS)，對(duì)40例糖尿病老人進(jìn)行問(wèn)卷調(diào)查，將測(cè)試結(jié)果與國(guó)內(nèi)常模進(jìn)行比較，并從不同性別、年齡、經(jīng)濟(jì)狀況、文化程度、病程方面及干預(yù)前后進(jìn)行心理狀況的分析。
 結(jié)果
 糖尿病老人SAS評(píng)分(45．18±9．64)、SDS評(píng)分(51．81±12．18)與國(guó)內(nèi)常模比較，差異有統(tǒng)計(jì)學(xué)意義(P<0．01)，且男女之間、不同年齡段、文化程度、經(jīng)濟(jì)狀況之間的SAS、SDS評(píng)分比較，差異具有統(tǒng)計(jì)學(xué)意義。31．7％的糖尿病老人有焦慮癥狀；19．5％糖尿病患者有抑郁癥狀；12．2％的患者同時(shí)有焦慮和抑郁癥狀。糖尿病患者的SAS、SDS總分受病程、有無(wú)并發(fā)癥影響。實(shí)施針對(duì)性心理護(hù)理8周后,SAS、SDS總分都有顯著下降(P＜0.05)。
 結(jié)論
 糖尿病老人常存在焦慮、抑郁心理，且受性別、年齡、文化程度和經(jīng)濟(jì)狀況的影響，加強(qiáng)糖尿病知識(shí)宣教，給予針對(duì)性心理護(hù)理是必要的。

關(guān)鍵詞：糖尿病；心理護(hù)理；心理健康；SAS；SDS
論文類型：研究報(bào)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

 
 目錄
 摘 要 V
ABSTRACT VI
1 緒論 1
1.1背景及意義 1
1.2目的及目標(biāo) 1
1.3關(guān)鍵詞定義 2
1.3.1  糖尿病 2
1.3.2  心理護(hù)理 2
1.3.3  心理健康 2
1.3.4  SAS 2
1.3.5  SDS 2
1.4文獻(xiàn)回顧 2
1.4.1糖尿病研究現(xiàn)狀 2
1.4.2國(guó)外糖尿病患者心理學(xué)方面的研究 3
1.4.3糖尿病對(duì)患者身心狀態(tài)的影響 4
1.4.4糖尿病患者的生活質(zhì)量現(xiàn)狀 2
2 研究設(shè)計(jì) 6
2.1研究設(shè)計(jì) 6
2.2研究對(duì)象 6
2.3研究方法 6
2.4研究步驟 7
2.5資料分析 7
3.結(jié)果 8
3.1焦慮、抑郁情況 8
3.2糖尿病患者 SAS、SDS評(píng)分與國(guó)內(nèi)常模比較 8
3.3不同性別、經(jīng)濟(jì)狀況的糖尿病患者 SAS、SDS評(píng)分比較 8
3.4不同教育程度的糖尿病患者SAS、SDS評(píng)分比較 8
3.5不同病程的糖尿病患者 SAS、SDS評(píng)分比較 9
3.6心理護(hù)理8周后心理狀況的變化 9
4.討論 10
4.1糖尿病老人焦慮抑郁狀況 10
4.2影響糖尿病患者焦慮抑郁的相關(guān)因素 10
4.2.1  不同性別、經(jīng)濟(jì)狀況的糖尿病患者的焦慮抑郁狀況 10
4.2.2  不同教育程度的糖尿病患者焦慮抑郁狀況 10
4.2.3  不同病程的糖尿病患者的焦慮抑郁狀況 11
4.3老年糖尿病患者的心理干預(yù)方法 11
5.推論與建議 13
5.1推論 13
5.2建議 13
參考文獻(xiàn) 14
 致謝 15