Application of continuing self-management education in recovery of diabetic patients with depression
10.3760/cma.j.issn.1674-2907.2016.04.013
- VernacularTitle:延续性自我管理教育在糖尿病合并抑郁症患者康复中的应用效果
- Author:
Jufang JIANG
1
;
Zijuan ZHANG
;
Yufang XU
;
Yan CAI
Author Information
1. 214151 南京医科大学附属无锡精神卫生中心
- Keywords:
Diabetes;
Depression;
Self-management;
Continuing nursing care;
Psychological status;
Quality of life
- From:
Chinese Journal of Modern Nursing
2016;22(4):493-496
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of continuing self-management education in recovery of diabetic patients with depression. Methods A total of 75 diabetic patients with depression were selected and divided into intervention group (37 cases) and control group (38 cases) by place of residence. The two groups received routine health education, while the patients of intervention group additionally received continuing self-management education. The patients in two groups were followed up for 12 months. The intervention effects and blood sugar control of two groups were evaluated by the disease knowledge questionnaire, self-rating depressive scale ( SDS ) and Hamilton depression rating scale ( HAMD ) and WHO quality of life-BREF ( WHOQOL-BREF) questionnaire. Results At the end of 6th month and 12th month after discharge from hospital, the score of disease knowledge in the intervention group was higher than that in the control group. The SDS score, HAMD score, fasting blood glucose and 2 h postprandial blood glucose in the intervention group were lower than those in the control group. The psychological, physical, social and environmental scores of WHOQOL-BREF in the intervention group were higher than those in the control group. The differences between two groups were statistically significant (P<0. 01). Conclusions The continuing self-management education can increase the patients′health knowledge levels, improve the glucose metabolism, alleviate the symptoms of depression and improve the quality of life.
