中文摘要：

目的探讨综合性心理护理对糖尿病抑郁症患者血糖达标及急性并发症的影响。方法选择2型糖尿病抑郁症患者80例，随机分为护理干预组和常规护理组，分别予以常规护理干预和综合性心理护理。疗程均为8周。观察并比较两组患者治疗前后抑郁症状的变化、血糖达标率和急性并发症的发生率。结果随访8周后．两组患者的HAMD和BDI评分均较前显著下降（P〈0．05或P〈0．01），且护理干预组患者下降幅度较常规护理组更明显（P〈0．05）；同时随访8周后，护理干预组FBG、2hPG和HbA1c的达标率显著高于常规护理组（x^2=6．05、7．04、4．38，P〈0．05或P〈0．01），且护理干预组治疗期间急性并发症的总发生率明显低于常规护理组（x^2=5．16，P〈0．05）。结论综合性心理护理治疗2型糖尿病抑郁症患者的疗效确切，能明显缓解患者的抑郁情绪。提高降糖药治疗的效果，有利于患者的血糖及糖化血红蛋白的达标，减少患者急性并发症的发生率，改善患者的生活质量及预后。

英文摘要：

Objective To discuss influence of comprehensive mental nursing on blood glucose and acute complications of diabetic depression patients. Methods A total of 80 cases of diabetes type 2 depression patients were selected and divided into nursing intervention group and routine nursing group randomly, and given routine nursing intervention and comprehensive mental nursing separately for 8 weeks. The changes of depression symptom, compliance rate of blood sugar and occurrence rate of acute complication of patients were observed and compared before and after medical treatment. Results Following-up after 8 weeks, HAMD and BDI scores of patients in two groups declined obviously （P〈0.05 or P〈0.01）, and the declining rate in nursing intervention group was much higher than that in routine nursing group （P〈0.05）. Meanwhile, following-up after 8 weeks, the compliance rates of FBG, 2hPG and HbAlc were obviously higher than those in routine nursing group （x^2=6.05, 7.04, 4.38, P〈0.05 or P〈0.01）, and the total occurrence rate of acute complication of the medical treatment in nursing intervention group was obviously lower than that in routine nursing group （x^2=5.16,P〈0.05）. Conclusion Comprehensive mental nursing has reliable curative effect on diabetic depression type 2 patients, and can alleviate the depressed mood of patients and improve the treatment effect of hypoglycemic agents, which is propitious to the standard achievement of blood sugar and glycosylated hemoglobin, reduction of occurrence of acute complication of patients and the improvement of life quality and prognosis of patients.