Effect of group counseling on depression, compliance and blood sugar level in diabetic patients.
OBJECTIVE
To establish an interference mode of group counseling for diabetic patients with depression and to evaluate the effectiveness of this mode on depression, treatment compliance and blood sugar level in the patients.


METHODS
One hundred diabetic patients with depression were randomly divided into a counseling group and a control group (n=50 per group). Self-Rating Depression Scale (SDS) was applied to all the patients. The interference mode of group counseling was established through literature review, expert consultation or interview. The counseling group received counseling for 8 times within 2 months.


RESULTS
There was a significant difference in the SDS scores at 0, 3, 6 or 12 months after the intervention between the 2 groups (P<0.001). For the counseling group, there was a significant difference in the SDS scores between pre-intervention and 3, 6 or 12 months after intervention (P<0.001). However, there was no significant difference in the SDS scores between any two time points after the intervention (P>0.05). There was a significant difference in the compliance between any two time points after the intervention (P<0.05). Fasting blood glucose (FBG), 2 h postprandial blood glucose (2hPG) or glycosylated hemoglobin (HbA1c) was significantly different at any two time points after the intervention (P<0.05).


CONCLUSIONS
Group counseling can improve depression, compliance and blood sugar control in the diabetic patients.
Department of Endocrine, Third Xiangya Hospital; Xiangya Nursing School, Central South University, Changsha 410013, China.
Feiyan
F
Long
Department of Nursing, Third Xiangya Hospital, Central South University, Changsha 410013, China.
Jin
J
Yan
Department of Endocrine, Third Xiangya Hospital, Central South University, Changsha 410013, China.
Ping'an
P
Hu
Department of Nursing, Third Xiangya Hospital, Central South University, Changsha 410013, China.
Miaojuan
M
Xia
Department of Central Sterile Supply, Third Xiangya Hospital, Central South University, Changsha 410013, China.
Hua
H
Liu
Xiangya Nursing School, Central South University, Changsha 410013, China.
Can
C
Gu
D001786:Blood Glucose / Q000032:analysis*; D003376:Counseling; D003863:Depression / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology* / Q000628:therapy; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D010349:Patient Compliance; D011615:Psychotherapy, Group
D001786:Blood Glucose; D006442:Glycated Hemoglobin