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目的：探讨多元化教育对老年2 型糖尿病合并抑郁患者的影响。方法：根据Zung 氏抑郁自评量表（SDS），入选100 名老年2 型糖尿病合并抑郁患者，匹配一般资料后随机分为常规组及多元化组，对常规组进行多媒体讲课，对多元化组除了多媒体讲课，还进行户外活动、有奖竞赛、个体化辅导等多形式教育，均为期3 月，对比治疗前后血糖的控制及抑郁状态的改善情况。结果：治疗后2 组的血糖控制及抑郁状态均有改善，但多元化组较常规组效果更好，且多元化组在治疗后抑郁严重度也有改善（P<0.05）。结论：在老年2 型糖尿病合并抑郁患者中，多元化教育更有利于血糖的控制及抑郁状态的改善。

英文摘要:

Objective: To study on the effect of diversified education in elderly patients with type 2 diabetes mellitus complicated depression. Methods: According to Zung's Self-rating Depression Scale (SDS), 100 elderly patients with type 2 diabetes combined with the depressive symptoms were selected after matching the data and status for general condition. They were randomly divided into the routine treatment group and the diversified treatment group. Multimedia lectures were offered to routine group, while for diversified group, apart from multimedia lectures, they were assigned outdoor activities, award-winning race, and individual counseling as diversified education treatments. The treatment in both groups lasted for 3 months. The status and indications of blood glucose of control and the depression state of improve situation were compared before and after the treatment. Results: Both groups glycemic control and depression status had improved after treatment, but compared with the routine group, the diversified group had better and more significant results, and also had much improvement of the depression severity (P<0.05). Conclusions: For elderly patients with type 2 diabetics and depression, diversified education provides more conducive effects to improve the patients' blood glucose control and depression.

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