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目的:探讨健康宣教对初诊2型糖尿病患者焦虑抑郁状态及胰岛素抵抗指数的影响。方法:对糖尿病患者给予健康宣教干预,用Zung焦虑自评量表(SAS)和抑郁自评量表(SDS)评估其干预前后精神状态评分及胰岛素抵抗指数的变化。结果:54例初诊糖尿病患者存在明显的焦虑抑郁情绪,健康宣教后明显改善(P<0.05),且胰岛素抵抗指数IRI明显减小,ISI增大(P<0.05)。结论:对初诊2型糖尿病患者要重视健康宣教,有助于改善其焦虑抑郁情绪,减小胰岛素抵抗,使血糖更易于控制,延缓糖尿病的恶性进展,提高生活质量。
Objective: To investigate the impact of health education on newly diagnosed type 2 diabetes patients with anxiety and depression status and insulin resistance index. Methods: Health education intervention was given to diabetic patients. The changes of mental status score and insulin resistance index before and after intervention were evaluated by Zung Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS). Results: The 54 patients with newly diagnosed diabetes showed significant anxiety and depression, which was significantly improved after health education (P <0.05). The IRI of insulin resistance index and the ISI increased significantly (P <0.05). Conclusion: Paying attention to health education in newly diagnosed type 2 diabetes patients will help to improve anxiety and depression, reduce insulin resistance, make blood sugar easier to control, delay the malignant progression of diabetes and improve the quality of life.