认知行为疗法对2型糖尿病患者心理治疗的效果观察

Effect of cognitive-behavioral therapy on psychological stress and curative effect in patients with type 2 diabetes mellitus

目的探讨认知行为疗法对T2DM患者心理压力减轻的作用及血糖控制的影响。方法选取48个社区1287例T2DM患者,按照两水平的整群随机设计原则分为干预组和对照(Con)组。干预组进行为期8周的认知行为疗法,Con组进行常规随访。结果最终共有1124例T2DM患者纳入分析。干预组6个月时HbA1c、焦虑及抑郁评分均低于基线(P<0.01);Con组HbA1c、焦虑及抑郁评分与基线比较,差异无统计学意义(P>0.05)。干预组轻、中度焦虑、抑郁患者经认知行为疗法干预后症状减轻,而重度焦虑、抑郁症状无改善。结论认知行为疗法可减轻T2DM患者的心理压力,进而改善血糖控制水平。

Objective To explore the effect of cognitive-behavioral therapy on psychological stress alleviation in patients with type 2 diabetes mellitus(T2DM)and its effect on blood glucose control.Methods According to a two-level cluster random design,48 communities(1287 participants in total)were randomly allocated to intervention group and control group.The intervention group was treated with cognitive-behavioral therapy for 8 weeks,while control group was treated with routine follow-up.Results A total of 1124 participants were finally included in this analysis.HbA1 c,the score of anxiety and depression were all lower after 6-months intervention compared with baseline in intervention group(P<0.01).No statistical differences were observed in HbA1 c,the score of anxiety and depression in control group after 6 months intervention compared with baseline(P>0.05).After intervention,the symptoms of anxiety and depression were alleviated in patients with mild and moderate anxiety and depression symptoms,while those with severe anxiety and depression symptoms remained unchanged.Conclusion Cognitive-behavioral therapy can relieve the psychological pressure,and then improve blood glucose control in people with T2DM.