摘要
目的探究优化型心理干预对老年糖尿病患者心理灵活性、行为习惯及血糖控制水平的影响。方法选取2018年4月—2021年4月于西部战区总医院干部病房收治的120例老年糖尿病患者为研究对象,使用随机数字表法分为对照组(n=60)和观察组(n=60)。对照组患者实施常规护理,观察组患者在对照组基础上实施优化型心理干预。分析2组干预前、干预6个月后的心理灵活性[接纳与行动问卷第二版(AAQ-Ⅱ)、认知融合问卷(CFQ)]、行为习惯[糖尿病自我管理行为量表修订版(SDSCA)]、糖尿病控制水平[糖尿病控制状况评价量表(CSSD70)]、他人支持[领悟社会支持量表(PSSS)]及血糖[空腹血糖(FPG)、餐后2 h血糖(2 hBG)、糖化血红蛋白(HbA1c)]水平差异。结果干预6个月后,2组AAQ-Ⅱ、CFQ得分及FBG、2 h BG及HbA1c水平均较干预前下降,且观察组低于同期对照组(P均<0.05);干预6个月后,2组SDSCA、CSSD70、PSSS各维度得分较干预前上升,且观察组高于同期对照组(P均<0.05)。结论优化型心理干预可提升老年糖尿病患者心理灵活性,改善行为习惯及血糖控制水平,有利于加强他人支持程度。
Objective To explore the effects of optimized psychological intervention on psychological flexibility,behavioral habits and blood glucose control level in elderly diabetic patients.Methods 120 elderly diabetic patients admitted to Cadre Ward of General Hospital of Western Theater Command between April 2018 and April 2021 were selected as the research subjects.They were divided into the control group(n=60)and observation group(n=60)by random number table method.The patients in the control group received routine nursing,while the patients in the observation group received optimal psychological intervention on the basis of the control group.The differences in psychological flexibility[Acceptance and Action Questionnaire-Second Edition(AAQ-Ⅱ),Cognitive Fusion Questionnaire(CFQ)],behavioral habits[Revised Summary of Diabetes Self-Care Activities(SDSCA)],diabetes control level[Control Status Scale of Diabetes(CSSD70)],others’support[Perceived Social Support Scale(PSSS)]and blood glucose levels[fasting plasma glucose(FPG),2 hour blood glucose(2 hBG)and glycated hemoglobin A1c(HbA1c)]between the two groups before intervention and 6 months after intervention were analyzed and compared.Results After 6 months of intervention,the scores of AAQ-Ⅱand CFQ and levels of FBG,2 hBG,HbA1c of the two groups were lower than those of the same group before intervention,and the scores and levels of the observation group were lower than those of the control group after intervention(all P<0.05).After 6 months of intervention,the scores of SDSCA,CSSD70 and PSSS of the two groups were higher than those of the same group before intervention,and the scores of the observation group were higher than those of the control group after intervention(all P<0.05).Conclusion Optimized psychological intervention can improve the psychological flexibility of elderly patients with diabetes,improve their behavior habits and blood sugar control level.It is conducive to strengthening the level of support from others.
作者
郑双婷
陈邱玲
杨静
徐艳梅
闫翔
Zheng Shuangting;Chen Qiuling;Yang Jing;Xu Yanmei;Yan Xiang(Cadre Ward,General Hospital of Western Theater Command,Chengdu,Sichuan,610057,P.R.China)
出处
《老年医学与保健》
CAS
2023年第1期117-121,共5页
Geriatrics & Health Care
基金
西部战区总医院应用基础研究项目(2021-XZYG-C06)。
关键词
老年
糖尿病
优化型心理干预
互助模式
心理灵活性
elderly
diabetes mellitus
optimized psychological intervention
mutual aid model
psychological flexibility
