认知行为干预对2型糖尿病患者抑郁情绪及糖化血红蛋白影响的系统评价

摘要

目的 采用循证医学的方法探讨认知行为干预对2型糖尿病患者身心健康的影响.方法 在中国知网全文数据库(CNKI)、中国维普全文数据库(VIP)、中国万方数据库、PubMed等数据库检索国内心理干预对2型糖尿病患者抑郁情绪及糖化血红蛋白水平影响的随机对照试验,予文献评价并使用RevMan5软件进行分析.结果 初检文献273篇,经筛选最终纳入6篇,文献质量均为B级.分析:认知行为干预可以降低糖尿病患者抑郁量表(SDS)评分;认知行为干预可以有效地降低糖尿病患者糖化血红蛋白值.结论 认知行为干预可以促进糖尿病患者的身心健康,降低糖化血红蛋白水平,并能改善抑郁状况.但因纳入分析的研究风险偏倚较高,因此有必要开展更高质量的大样本随机对照试验来验证该结论.%Objective Using the evidence-based medicine to investigate the effect of cognitive behavior intervention on physical and mental health in patients with type 2 diabetes mellitus.Methods Controlled studies related to psychological intervention on depression and glyeosylated hemoglobin in patients with type 2 diabetes were retrieved from electronic databases such as CNKI,VIP,Wanfang database and Pubmed,etc.The quality of included studies was evaluated and then data were analyzed by using RevMan5 software.Results A total of 273 articles were retrieved and finally 6 were enrolled.Results of Meta analysis were listed as follows:Cognitive behavior intervention could reduce score of Self-rated Depression Scale (SDS) in patients with diabetes mellitus.Cognitive behavior intervention could effectively reduce glycosylated hemoglobin values in patients with diabetes mellitus.Conclusions Cognitive behavior intervention can improve physical and mental health,decrease glycosylated hemoglobin and improve depression status in patients with type 2 diabetes mellitus.However,all the trials included in this review are of low quality; larger scale RCTs of higher quality are needed to confirm this conclusion.