正念减压对2型糖尿病合并焦虑患者情绪及生存质量的影响

Effect of Mindfulness-based Stress Reduction on Emotion and Quality of Life in Cases with Type 2 Diabetes Complicated with Anxiety

目的探讨正念减压疗法对社区2型糖尿病合并焦虑患者生存质量的影响。方法将社区就诊的2型糖尿病合并焦虑患者68例随机分为干预组和对照组,干预组35例,对照组33例。对照组采用健康教育管理,干预组在常规健康教育的基础上加用正念减压。干预前和干预8周后观察2组的血压、血糖、焦虑自评量表(SAS)、抑郁自评量表(SDS)及糖尿病患者生存质量特异性量表(DSQL)得分情况。结果对照组干预前后各项指标差异均无统计学意义;干预组干预后收缩压、舒张压和空腹血糖较干预前降低,差异有统计学意义。对照组SAS评分较干预前有下降趋势,但差异无统计学意义,干预前后SDS评分差异无统计学差异(P>0.05)。干预组干预后SAS和SDS评分较干预前下降,且差异有统计学意义(P<0.01)。正念减压疗法干预后,干预组在生理功能、心理维度、社会关系及生活质量总分上较对照组降低,差异有统计学意义(均P<0.01),2组在治疗维持度上差异无统计学意义。结论正念减压可以减轻2型糖尿病合并焦虑患者的焦虑情绪,辅助控制血压及血糖,改善患者生存质量。

Objective To discuss the effect of mindfulness-based stress reduction (MBSR) on emotion and quality of life in community cases with type 2 diabetes complicated with anxiety. Methods 68 community cases with type 2 diabetes complicated with anxiety were randomly divided into 2 groups: intervention group (n=35) and control group (n=33);conventional health education was provided to cases in both groups while MBSR was added to cases in intervention group;blood pressure, blood glucose, the scores of self-rating anxiety scale (SAS), self-rating depression scale (SDS) and diabetes specific quality of life (DSQL) of the cases in both groups before intervention and 8 weeks after intervention were observed. Results The index before intervention were of no statistical difference fromthose after intervention in control group;the systolic pressure, diastolic pressure and the level of fast blood glucose after intervention were lower than those before intervention in intervention group (P<0.05);in control group, the SAS scores after intervention were lower than those before intervention but with no statistical difference (P>0.05) while no statistical difference was found in SDS scores before and after intervention (P>0.05);in intervention group, the scores of SAS and SDA after intervention were lower than those before intervention with statistical difference (P<0.01);after MBSR, the scores of physiological function, psychological dimension, social relationship and quality of life in intervention group were all lower than those in control group (all P<0.01) while no statistical difference was found in treatment maintenance between the 2 groups. Conclusions MBSR can alleviate the anxiety emotion, provide an auxiliary help in controlling blood pressure and blood glucose and improve the quality of life in cases with type 2 diabetes complicated with anxiety.