思维导图式认知行为干预对糖尿病足患者自我管理能力的影响

Effect of Cognitive Behavioral Intervention Based on Mind Map on Self-management Ability of Diabetic Foot Patients

目的提高糖尿病足患者自我管理能力,减轻患者焦虑和抑郁程度,并降低糖尿病足发生和复发的风险。方法采用方便分样将138例糖尿病足患者分为对照组和干预组各69例。对照组接受糖尿病足自我管理的常规临床治疗;干预组在此基础上,进行基于思维导图的认知行为干预。于入院当天、出院当天及出院后1个月,通过糖尿病足知识问卷、自我管理能力量表、SAS和SDS测评。结果两组患者糖尿病足知识问卷、自我管理能力、SAS和SDS得分的干预主效应,糖尿病足评估结果均有统计学意义(P<0.05,P<0.01)。结论基于思维导图的认知行为干预可以提高糖尿病足患者认知情况,增强自我管理能力,减轻患者焦虑和抑郁程度,降低糖尿病足发生和复发的风险。

Objective To improve the self-management ability of diabetic foot patients,reduce the anxiety and epression of patients,and reduce the risk of occurrence and recurrence of diabetic foot.Methods 138 patients with diabetic foot were divided into control group and intervention group,with 69 cases in each group.The control group received routine clinical treatment of self-management of diabetic foot,and the intervention group received cognitive and behavioral intervention based on the control group.Diabetic foot knowledge questionnaire,self-management ability scale,SAS and SDS were assessed on the day of admission,the day of discharge and one month after discharge.Results The main effects of intervention on diabetic foot knowledge questionnaire,self-management ability,SAS and SDS scores were statistically significant(P<0.05,P<0.01).Conclusion Cognitive behavioral intervention based on mind mapping can improve the cognitive status of patients with diabetic foot,enhance self-management ability,reduce the degree of anxiety and depression,and reduce the risk of diabetic foot occurrence and recurrence.