| 张源,杨世权,杨国贤,等.正念减压疗法对糖尿病合并抑郁情绪患者的干预效果研究[J].中国临床保健杂志,2025,28(4):528-531. |
| 正念减压疗法对糖尿病合并抑郁情绪患者的干预效果研究 |
| The intervention study of mindfulness decompression on diabetes patients with depression |
| 投稿时间：2025-03-11 |
| DOI：10.3969/J.issn.1672-6790.2025.04.018 |
| 中文关键词: 糖尿病 抑郁 正念 生活质量 老年人 |
| 英文关键词: Diabetes mellitus Depression Mindfulness Quality of life Aged |
| 基金项目:上海市徐汇区科委面上项目(SHXH202106)；上海市中西医结合学会社区医学与健康管理项目(2023SQ45) |
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| 中文摘要: |
| 目的 探讨正念减压疗法对糖尿病合并抑郁情绪患者抑郁症状、血糖控制及生活质量的影响。方法 随机对照试验设计前瞻性研究。选取2023年1月至12月于上海市某社区就诊的60岁以上83例糖尿病合并抑郁情绪患者为研究对象,采用随机数字表法分为研究组和对照组。研究组41例,对照组42例。研究组接受8周正念减压干预(含呼吸训练、身体扫描及正念冥想等),对照组接受常规健康教育。干预前后采用抑郁自评量表、空腹血糖及糖尿病特异性生存质量量表(DQOL)、匹兹堡睡眠质量指数量表,评估2组患者抑郁情绪、血糖控制及生活质量变化。结果 干预后,研究组抑郁自评量表评分[(45.26±2.16)分]显著低于对照组[(47.06±5.14)分],P=0.061；空腹血糖水平较基线下降(P<0.05),且DQOL总分及生理功能、心理维度、社会关系评分显著改善(P<0.05)；匹兹堡睡眠质量指数量表得分显著改善(P<0.05)。对照组干预前后上述指标变化差异无统计学意义(P>0.05)。结论 正念减压疗法能有效缓解糖尿病合并抑郁情绪患者的抑郁症状,改善血糖控制及生活质量及睡眠质量,可作为糖尿病综合管理的辅助干预手段。 |
| 英文摘要: |
| Objective To investigate the effects of mindfulness-based stress reduction therapy (MBSR) on depressive symptoms,blood glucose control and quality of life in diabetic patients with depression.Methods A prospective study was designed as a randomized controlled trial.A total of 83 patients aged 60 and above with diabetes and comorbid depressive symptoms who visited a community clinic in Shanghai from January to December 2023 were selected as the study subjects.They were divided into an intervention group and a control group using a random number table method.There were 41 patients in the intervention group and 42 patients in the control group.The intervention group received 8 weeks of mindfulness stress reduction intervention (including core contents such as breathing training,body scanning and mindfulness meditation),and the control group received routine health education.Before and after the intervention,self-rating Depression Scale (SDS),fasting blood glucose and Diabetes Quality of Life Scale (DQOL),Pittsburgh Sleep Quality Index Scale (PSQI) were used to evaluate the changes of depressive mood,blood glucose control and quality of life in the two groups.Results After the intervention,the SDS score of the intervention group [(45.26±2.16) points] was significantly lower than that of the control group[(47.06±5.14) points] ,P=0.061,the fasting blood glucose level was decreased compared with the baseline (P<0.05),and the total score of DQOL,physiological function,psychological dimension and social relationship scores were significantly improved (P<0.05).PSQI score was significantly improved (P<0.05).There were no significant differences in the above indexes in control group (P>0.05).Conclusions Mindfulness-based stress reduction therapy can effectively relieve the depressive symptoms of patients with diabetes complicated with depression,improve blood sugar control and quality of life and sleep quality,which can be used as an auxiliary intervention for the comprehensive management of diabetes. |
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