目的 探讨心理行为干预对痛风患者遵医行为的影响。 方法 2006年1月－2010年9月，选取痛风患者190例，随机分为干预组和对照组，两组均进行遵医行为评价和疾病相关检查；对干预组进行认知行为干预，分析患者存在的痛风饮食治疗的认知误区，有针对性地进行心理行为干预。 结果 干预后，干预组认知行为总分和各单项分均高于对照组（P＜0.05），胆固醇、甘油三酯和体质量指数均低于对照组（P＜0.05）；干预组19例（20.0%）复发，对照组36例（37.9%）复发，两组复发率比较，差异有统计学意义（χ2=7.390，P=0.007）。 结论 行为认知治疗可提高痛风患者的治疗依从性，从而有助于改善尿酸等相关指标。
【摘要】 目的 探讨心理干预对糖尿病患者血糖控制及情绪的影响。 方法 2001年3月-2009年7月将120例2型糖尿病患者随机分成干预组和对照组，每组各60例。两组均给予正规药物治疗，干预组同时予心理干预。8周后用焦虑自评量表（self-rating anxiety scale，SAS）、抑郁自评量表（self-rating depression scale，SDS）评定两组患者情绪变化，同时测定空腹血糖、餐后2 h血糖。 结果 干预前后干预组空腹血糖及餐后2 h 血糖下降值多于对照组，差异有统计学意义（Plt;0.05）；通过干预，干预组患者SAS、SDS评分均有明显改善，干预前后评分差异有统计学意义（Plt;0.05），对照组干预前后差异无统计学意义（Pgt;0.05）；患者血糖与SAS、SDS评分等因子呈现中等程度的相关性（|r|为0.4~0.6，Plt;0.05）。 结论 糖尿病患者血糖与SAS、SDS等情绪指标相关，心理干预能显著改善血糖和患者情绪。【Abstract】 Objective To study the effect of psychological intervention on blood-glucose control and emotions of diabetic patients. Methods A total of 120 patients with type 2 diabetes treated between March 2001 and July 2009 were randomly divided into the intervention group and the control group with 60 patients in each. Medicine treatment was carried out for patients in both groups, and psychological intervention was applied only to the intervention group. Eight weeks later, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate emotion changes of the patients. Fasting blood glucose, post-meal blood glucose (P2hBG) examination were conducted at the same time. Results The result showed a significantly larger decrease of both fasting blood glucose and post-meal blood glucose in the intervention group than the control group (Plt;0.05). Through these methods, the SAS and SDS evaluation of patients in the intervention group improved significantly (Plt;0.05); However, the change of these two scores was not statistically significant in the control group (Pgt;0.05). There was a mid-level correlation between the blood sugar level of diabetic patients and SAS, SDS evaluation scores (0.4lt;|r|lt;0.6, Plt;0.05). Conclusion The blood sugar level of patients with diabetes is closely related to SAS and SDS scores, and psychological intervention can significantly improve the control of blood glucose and emotions of the patients.