Objective To study the effect of applying solution-focused approach in intervention among T2DM patients with depression. Methods One hundred and eighty patients with T2DM and depression received from June 2012 to December 2013 were selected and divided into the observation group and the control group according to odd and even numbers ,90 cases in each group. The patients in the control group were treated with regular nursing care interventions ,while the observation group with solution-focused approach in intervention on the basis of the control group.The metabolic indexes including FBG,2h-PBG,HbA-IC,self-care condition and depression grades were observed,before and after intervention. Results After being intervened for 6 months,the metabolic indexes of the both groups are lower than that before interventions. The indexes of the observation group are higher than those of the control group. The difference between the two groups was stastically significant (P<0.05). The patients′self-care scores of the both groups were raised than that before the interventions except smoking. The observation group was signif-icantly superior than the control group (P<0.05). The patients′depression scores(53.23±3.79) of the observation group after 6-month interventions was lower than that(59.04±4.48) before intervention with statically significant difference(P<0.05). Conclu-sion The application of solution-focused approach can strengthen the self-care behavior of the T2DM patients with depression, improve the patients′depression and then increase the therapeutic effect.%目的：研究应用聚焦解决模式干预2型糖尿病（T2DM）合并抑郁患者的效果。方法选择2012年6月至2013年12月该院收治的T2DM合并抑郁患者180例，按住院顺序单、双号分为对照组和观察组，各90例。对照组患者采用常规护理干预措施，观察组患者在对照组基础上应用聚焦解决模式进行干预。观察两组患者干预前后的代谢指标（空腹血糖、餐后2小时血糖、糖化血红蛋白）、自身照护水平和抑郁评分等。结果干预6个月后，两组患者糖尿病代谢指标低于干预前，且观察组优于对照组，差异均有统计学意义（P＜0.05或0.01）；两组患者自我照护行为得分较干预前均有提高（除吸烟维度外），且观察组优于对照组，差异有统计学意义（P＜0.05）；观察组患者干预6个月后抑郁评分[（53.23±3.79）分]较干预前[（59.04±4.48）分]低，且低于对照组干预后[（56.32±4.11）分]，差异均有统计学意义（P＜0.05）。结论应用聚焦解决模式干预T2DM合并抑郁可增强患者自我照护行为，改善其抑郁情绪，从而提高糖尿病治疗效果。
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