| Objective1.To analyze the general characteristics,related risk factors and Traditional Chinese Medicine(TCM)emotional distribution characteristics of patients with Type 2 Diabetes Mellitus(T2DM)with anxiety and(or)depression,and to explore the correlation between TCM emotional distribution and comorbid anxiety and depression in patients with T2DM with anxiety and(or)depression.2.Through clinical trials,the clinical efficacy of Traditional Chinese Medicine emotion therapy in the treatment of T2DM with anxiety and depression was observed,which provided a basis for the clinical application of Traditional Chinese Medicine emotion therapy.Methods1.Collect 400 patients with Type 2 Diabetes Mellitus with anxiety and(or)depression who were treated in the Department of Endocrinology,Yunnan Provincial Hospital of Traditional Chinese Medicine from November 1,2021 to October 31,2022.All patients were evaluated by Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and five-state emotional questionnaire of Traditional Chinese Medicine.The general data such as gender,age,education,course of Type 2 Diabetes Mellitus,Body Mass Index(BMI)were collected and entered into the database,SPSS27.0 software was used for statistical analysis.2.Using randomized controlled research methods,72 patients with T2DM with anxiety and depression who met the inclusion criteria were selected and divided into control group and experimental group,36 cases in each group.The scores of SAS,SDS,fasting and2-hour postprandial blood glucose were compared between the two groups before,during and after treatment.SPSS27.0 software was used for statistical analysis of the data to observe the intervention effect of Traditional Chinese Medicine emotional therapy on T2DM with anxiety and depression.Results1.A total of 400 patients with T2DM with anxiety and depression participated in the questionnaire survey.Among them,the questionnaire of 45 cases was excluded because the bias of the five emotion was not obvious,so 355 cases were included.Among them,T2DM with anxiety and depression was the most,with 243 cases,accounting for 68.45%;there were 64 cases of T2DM with depression,accounting for 18.03%;T2DM with anxiety was the least,with 48 cases,accounting for 13.52%.2.The anxiety of patients with T2DM was correlated with education level and BMI index(P<0.05).The higher the education level,the less prone to anxiety;the higher the BMI index,the higher the risk of anxiety and depression;the effect of age on depression was statistically significant(P < 0.05),and the older patients were more likely to have comorbid depression.3.T2DM comorbid anxiety,T2DM comorbid depression and T2DM comorbid anxiety and depression in the three groups of patients with T2DM comorbid anxiety and depression are the most common in the “overthinking”,there were 22 people,44 people,159 people,accounting for 45.8% of the total number of each group,68.8% and 65.4%,while the three groups of patients had no “excessive joy”.4.There was a statistically significant difference between T2DM patients with anxiety and(or)depression and five types of excessive emotions(P<0.001).5.There was no significant difference in gender,age and course of disease between T2DM patients with anxiety and(or)depression(P>0.05),while BMI index was correlated with it(P<0.05).6.The scores of SAS and SDS in the experimental group and the control group decreased after 2 weeks of intervention(P<0.005),and decreased more significantly after the end of intervention(P<0.005).The comparison between the groups showed that the scores of SAS and SDS in the experimental group were lower than those in the control group after 2weeks of intervention and after intervention(P < 0.001).After intervention,the total effective rate of SAS score in the experimental group was 87.10%,and the total effective rate of SAS score in the control group was 34.38%.The total effective rate of SDS score was 87.00% in the experimental group and 25.00% in the control group.After intervention,the total effective rate of SAS and SDS scores in the experimental group was higher than that in the control group,with statistical significance(P<0.001).7.The fasting blood glucose and 2-hour postprandial blood glucose of the experimental group and the control group after intervention were lower than those before intervention(P<0.05),and the comparison between the groups showed that the fasting blood glucose and2-hour postprandial blood glucose of the experimental group after intervention were lower than those of the control group,with statistical significance(P<0.05).Conclusions1.The education level and BMI index of patients with Type 2 Diabetes Mellitus are closely related to comorbid anxiety,while age is closely related to comorbid depression.2.The emotional bias of patients with Type 2 Diabetes Mellitus is related to anxiety and depression,and is also related to their BMI index.Patients with Type 2 Diabetes Mellitus with anxiety and(or)depression are mainly manifested as overthinking.3.The Traditional Chinese Medicine emotional therapy can effectively improve the anxiety and depression of patients with T2DM and reduce the blood glucose level of patients. |
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