理性情绪疗法对2型糖尿病患者应对方式及自我管理行为的影响

Study on the effect of rational-emotive therapy on coping style and self-management behaviors for type 2 diabetes

目的：探讨理性情绪疗法对2型糖尿病患者应对方式及自我管理行为的影响。方法将90例住院2型糖尿病患者按照随机数字表法分为对照组与干预组各45例。对照组给予常规健康教育，干预组在此基础上采用理性情绪疗法进行心理干预，两组均随访3个月，分别在干预前、干预后3个月评估患者的应对方式、自我管理行为。结果两组患者干预前应对方式、自我管理行为差异无统计学意义（P＞0．05），干预组干预后的应对方式得分中，面对为（22．44±3．33）分，高于对照组的（19．36±2．87）分，回避为（13．33±2．53）分，低于对照组的（14．93±2．61）分，屈服为（10．00±2．63）分，低于对照组的（11．93±3．03）分，差异均有统计学意义（t分别为-4．63，2．91，3．17；P＜0．05）；干预组干预后自我管理行为得分为（108．19±7．48）分，显著高于对照组的（100．95±6．24）分，差异有统计学意义（t＝-4．90，P＜0．05）。结论理性情绪疗法能改善2型糖尿病患者的应对方式、提高患者的自我管理行为。

Objective To evaluate the effect of rational-emotive therapy on coping style and self-management behaviors among patient with type 2 diabetes .Methods Ninety in-patients with type 2 diabetes were assigned to the control group and the intervention group according to the random number table method , with 45 cases each .The control group received routine diabetic education , while the intervention group was given the education of Rational-emotive therapy.Both groups were followed up for 3 months.Their coping style and self-management behaviors were measured before and 3 months after the intervention .Results There was no statistically significant differences of the scores of coping style and self-management behaviors between two groups before the intervention （P〉0.05）.The score of facing was （22.44 ±3.33） in the intervention group, higher than （19.36 ±2.87） in the control group.The score of avoidance was （13.33 ±2.53） in the intervention group, lower than （14.93 ±2.61） in the control group.The score of yield was （10.00 ±2.63） in the intervention group, lower than （11.93 ±3.03） in the control group.The differences were statistically significant （t=-4.63, 2.91, 3.17, respectively;P〈0.05）.The score of self-management behaviors was （108.19 ±7.48） in the intervention group, higher than （100.95 ±6.24） in the control group after the intervention, and the difference was statistically significant （t=-4.90;P〈0.05）.Conclusions Rational-emotive therapy can improve the coping style and self-management behaviors of patients with type 2 diabetes.