摘要
目的探讨团体心理干预对2型糖尿病患者的空腹血糖、糖化血红蛋白水平、心理状况及生活质量的影响。方法根据研究的入组和排除标准,选择66例糖尿病患者,将他们随机分为实验组33人和对照组33人,由心理治疗师及其助手对实验组被试进行团体心理干预及社区慢病管理,对照组仅进行社区慢病管理。团体心理干预前后,对全部被试者进行生物学指标(空腹血糖、糖化血红蛋白)、心理状况(焦虑、抑郁量表)和生活质量(糖尿病患者生活质量量表)的测量。结果实验组被试的后测空腹血糖水平明显低于对照组(t=-3.763,P<0.01)。实验组被试的生活质量、生理因素、社会关系及治疗因素的后测值均低于对照组(P<0.05或P<0.01)。结论团体心理干预可以有效降低老年糖尿病患者的空腹血糖水平,改善糖尿病患者的生活质量。
Objective To explore the effectiveness of comprehensive psychotherapy for patients with type 2 diabetes mellitus in fasting blood-glucose,glycosylated hemoglobin,psychological conditions and quality of life.Methods According to the inclusion and exclusion criterias,we got 66 patients with type 2 diabetes mellitus.The patients were divided into treatment group and control group randomly.Each group had 33 patients.The psychological therapist and his assistant would conduct comprehensive psychotherapy and community management of chronic diseases to the patients in the treatment group.Patients in the control group only got community management of chronic diseases.To measure the biological indicators （fasting blood glucose,glycosylated hemoglobin）,psychological conditions （anxiety,depression） and quality of life （life quality of patients with diabetes mellitus） of the patients in both groups prepost the comprehensive psychotherapy. Results There was a significant difference between the treatment group and control group in the post test of fasting blood glucose levels（t=-3.763,P0.01）.There were some significant differences between the treatment group and control group in the quality of life, physiological factors,social relations and treatment factors（P0.05 or P0.01）. Conclusions Comprehensive psychotherapy can effectively reduce the fasting blood glucose levels and improve the life quality levels of patients with diabetes mellitus.
出处
《首都医药》
2013年第16期37-40,共4页
Capital Medicine
关键词
团体心理干预
2型糖尿病
空腹血糖水平
生活质量
Comprehensive Psychotherapy
Type 2 Diabetes Mellitus
Fasting Blood-Glucose
Quality of Life
