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目的探讨心理干预对肺结核合并糖尿病患者治疗效果的影响。方法将2011年9月—2013年6月我院收治的122例肺结核合并糖尿病患者随机分为观察组(61例)与对照组(61例),所有患者均接受2HRZS(E)/4HR方案抗结核治疗,同时接受适宜的控制血糖方案治疗。在上述治疗基础上,给予观察组患者心理干预,对照组患者未接受心理干预,现对比分析两组患者的疗效。结果 1观察组痰菌转阴率显著高于对照组(P<0.05)。2治疗前,两组患者汉密顿抑郁量表(HAMD)评分、全血糖化血红蛋白浓度、疾病知识调查表评分相比差异无统计学意义(P>0.05)。治疗后,观察组患者HAMD评分、全血糖化血红蛋白浓度显著低于对照组患者(P<0.05)。疾病知识调查表评分显著高于对照组患者(P<0.05)。结论心理干预可以有效地提高肺结核合并糖尿病患者的痰菌转阴率,并改善患者的抑郁情绪,降低患者的血糖水平,提高患者对疾病的认知。
Objective To investigate the effect of psychological intervention on the treatment of patients with pulmonary tuberculosis complicated with diabetes mellitus. Methods 122 patients with tuberculosis and diabetes mellitus admitted to our hospital from September 2011 to June 2013 were randomly divided into observation group (61 cases) and control group (61 cases), and all patients received 2HRZS (E) / 4HR regimen Tuberculosis treatment, while receiving appropriate control of blood glucose treatment program. On the basis of the above treatment, psychological intervention was given to the observation group patients, and the control group patients did not receive psychological intervention. The curative effect of the two groups was compared and analyzed. Results 1 The sputum negative rate of the observation group was significantly higher than that of the control group (P <0.05). 2 Before treatment, there was no significant difference in Hamilton Depression Rating Scale (HAMD), HbA1c, Disease Knowledge Questionnaire between the two groups (P> 0.05). After treatment, the HAMD score and the concentration of HbAc in the observation group were significantly lower than those in the control group (P <0.05). Disease knowledge questionnaire score was significantly higher than the control group (P <0.05). Conclusion Psychological intervention can effectively improve the rate of sputum negative conversion rate in patients with pulmonary tuberculosis complicated with diabetes mellitus, and improve the depression of patients, reduce the blood sugar level and improve the cognition of the patients.