压力接种训练对糖尿病患者相关心理痛苦及知觉压力的影响

The effect of stress inoculation training on diabetes-related distress and stress in diabetic patients

目的:调查压力接种训练对糖尿病患者相关心理痛苦及知觉压力的干预效果。方法:采用随机数字表法将64例糖尿病患者分为干预组和对照组,每组各32例,两组均进行常规的健康教育和治疗,干预组在此基础上进行每周1次、每次90min、共8周的压力接种训练。两组干预前后均采用糖尿病痛苦量表(DDS)、糖尿病问题量表(PAID)和知觉压力量表(CPSS)对糖尿病患者进行测评,评估其干预效果。结果:经过8周的压力接种训练后,干预组DDS得分为(1.73±0.15)分,PAID得分为(32.90±2.63)分.CPSS得分为(31.23±3.76)分,对照组DDS得分为(2.29±0.57)分,PAID得分为(36.95±4.07)分,CPSS得分为(34.57±4.26)分,干预组显著低于对照组,差异有统计学意义。结论:压力接种训练能有效降低糖尿病相关痛苦及患者的知觉压力水平,提高患者的生活质量。

Objective： This study was conducted to determine the effect of Stress Inoculation Training （SIT） on diabetes-related distress and stress in diabetic patients. Methods： Sixty-four diabetic patients were randomly assigned to either case or control group. The case and control groups received the same treatment and health education, the only difference was stress inoculation training administered in the case group, which was composed of eight 90rain sessions over 8 weeks. Data were collected using Diabetes Distress Scale （DDS）, The Problem Areas In Diabetes Scale （PAID） and the Chinese Version Perceived Stress Scale （CPSS） before and after the intervention. Results： The results showed that there was a significant difference between case and control groups in terms of diabetes-related distress and stress （P〈0.01）. Stress inoculation training reduced diabetes-related distress and stress in diabetes patients. Conclusion： SIT significantly reduced diabetes-related distress and stress. Therefore, teaching this skill and the strategies of coping with stress is recommended for these patients, in addition to medical treatment.