厌恶疗法对糖尿病患者饮食治疗依从性的影响

Effect of aversion therapy on the dietary compliance of diabetic patients

目的探讨厌恶疗法对糖尿病患者饮食治疗依从性的影响。方法将92例门诊糖尿病患者随机分为实验组48例,对照组44例,对照组患者采用集体授课的健康教育方式,实验组患者除接受常规糖尿病健康教育外,同时采用厌恶疗法。比较干预后3个月两组患者饮食治疗依从性、空腹血糖(fasting plasma glucose,FPG)、随机血糖(random plasma glucose,RPG)、糖化血红蛋白(glycosylated hemoglobinAlc,GHbA1c)变化情况及研究组患者焦虑、抑郁情况。结果干预后两组患者饮食依从性评分比较,差异具有统计学意义(P<0.001),实验组评分明显高于对照组;干预后两组患者各项代谢指标比较,差异具有统计学意义(均P<0.01),实验组明显优于对照组;实验组患者干预前后焦虑、抑郁评分比较,差异无统计学意义(均P>0.05)。结论厌恶疗法干预效果优于单纯理论知识讲解的健康教育方法,其可提高糖尿病患者饮食依从性,有利于糖尿病患者代谢的控制。

Objective To study the effect of aversion therapy on compliance of dietary therapy among diabetic patients. Method Ninety two diabetic outpatients were randomized into the experiment group （n = 48） and the control group （n = 44）. The experiment group was managed with aversion therapy besides routine diabetic health education and the control group with health education by way of attending lectures. The two groups were compared in terms of compliance of dietary therapy, fasting plasma glucose （ FPG ） and glycosylated hemoglobin Ale （ GHbA 1 e ）, as well as anxiety and depression. Results The compliance of dietary therapy in the experiment group was better than the control group （P 〈 0.001 ）. The indexes in metabolism were all better than those of the control group （P 〈 0.01）. But there were no differences in the scores on SAS and SDS （both P 〉 0.05）. Conclusions The aversion therapy is more effective in improving the compliance of dietary therapy for diabetic patients compared to the conventional heahh education. It is good for their metabolism.