行为疗法对肥胖型2型糖尿病自我管理行为及代谢指标的影响

Influence of behavioral therapy on self management behavior and metabolic markers of type 2 diabetes mellitus with obese

[目的]探讨行为疗法对肥胖型2型糖尿病病人的自我管理行为及代谢指标的影响。[方法]将106例肥胖型2型糖尿病病人分为对照组和干预组各53例。对照组接受常规护理、糖尿病健康教育及门诊随访;观察组在此基础上予以行为疗法,包括病人评估及健康教育、饮食治疗、运动治疗、日记疗法、基于微信平台随访管理。比较两组病人在干预前及干预后3个月、6个月时自我管理行为的改变,同时比较两组代谢指标的差异,包括空腹血糖、餐后2h血糖、糖化血红蛋白、体重、体重指数、腰围、腰臀比、甘油三酯、低密度脂蛋白、高密度脂蛋白。[结果]干预后3个月、6个月干预组自我管理行为问卷评分和代谢指标显著高于对照组(P<0.001,P<0.05)。[结论]行为干预能有效提高病人自我管理能力,改善病人的代谢指标。

Objective：To probe into the influence of behavioral therapy on self management behavior and metabolic markers of type 2diabetes with obesity.Methods：A total of 106 cases of type 2diabetes with obesity were divided into control group and observation group（n=53）.The patients in observation group accepted routine nursing,diabetes health education and outpatient follow-up.While on the basis the patients in observation group adopted the behavioral therapy,including patient evaluation and health education,diet therapy,exercise therapy,diary,follow-up management based on the platform of We Chat.The Chinese version scale of the Diabetes SelfCare Activities（CDSCA）and FPG,2hPBG,body weight,BMI,waist circumference,WHR,TG,LDL-C,HDL-C were adopted to evaluate the changes of the self-management behavior and metabolic markers before intervention,after the intervention for 3 months and 6 months.Results：The score of the Chinese version scale of the Diabetes Self-Care Activities and metabolic markers of patients in observation group were significantly higher than those in control group after the intervention for 3 months and 6 months.Conclusion：Behavioral intervention could effectively improve patient self-management ability and improve the patients＇ metabolic markers.