基于行为阶段-交谈方式对应的心理引导改善2型糖尿病患者认知水平、心理韧性、健康行为的效果观察

Effect of behavior stage-conversation mode corresponding psychological guidance on improving the cognitive level,psychological resilience and health behaviors of patients with type 2 diabetes mellitus

目的:探索基于行为阶段-交谈方式对应的心理引导改善2型糖尿病患者认知水平、心理韧性、健康行为的效果。方法:选择某院收治的136例2型糖尿病患者,随机分组为对照组和观察组各68例,对照组患者接受常规干预,观察组患者接受基于行为阶段-交谈方式对应的心理引导,两组患者均于干预前、干预6个月后比较血糖水平、认知水平、心理韧性、健康行为方面的差异。结果:干预6个月后,观察组患者空腹血糖、餐后2h血糖、糖化血红蛋白水平均显著低于对照组(t=4.375,7.996,2.930;P<0.05);糖尿病知识测试问卷(DKT)中饮食方案、运动锻炼、血糖监测、并发症管理、药物治疗评分及总分显著高于对照组(t=-10.164,-10.811,-13.708,-15.519,-16.253,-9.520;P<0.05);心理韧性量表(CD-RISC)中乐观、自强、坚韧评分及总分均显著高于对照组(t=-4.320,-9.067,-6.761,-10.722;P<0.05);糖尿病患者自我管理行为量表(SDSCA)中饮食控制、规律锻炼、遵医用药、血糖监测、足部护理、高低血糖处理评分均显著高于对照组(t=-7.361,-10.186,-2.922,-11.039,-8.803,-9.257;P<0.05)。结论:基于行为阶段-交谈方式对应的心理引导能够有效提高2型糖尿病患者认知水平、心理韧性,促进患者健康行为的养成,从而有助于患者积极控制血糖水平。

Objective:To explore the effect of behavior stage-conversation mode corresponding psychological guidance on improving the cognitive level,psychological resilience and health behaviors of patients with type 2 diabetes mellitus.Methods:A total of 136 patients with type 2 diabetes mellitus treated in the hospital were selected and randomly divided into control group and observation group,with 68 cases in each group.The control group received routine intervention,and the observation group was given behavior stage-conversation mode corresponding psychological guidance.The blood glucose,cognitive level,psychological resilience and health behaviors were compared between two groups of patients before intervention and after 6 months of intervention.Results:After 6 months of intervention,the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin of observation group were significantly lower than those of control group(t=4.375,7.996,2.930;P<0.05).The scores of diet regimen,exercise training,blood glucose monitoring,complication management and drug treatment and total score of Diabetes Knowledge Test(DKT)were significantly higher than those of control group(t=-10.164,-10.811,-13.708,-15.519,-16.253,-9.520;P<0.05).The scores of optimism,self-improvement and toughness and total score of Connor-Davidson Resilience Scale(CD-RISC)were significantly higher than those of control group(t=-4.320,-9.067,-6.761,-10.722;P<0.05).The scores of diet control,regular exercise,compliance with medications,blood glucose monitoring,foot care and high and low blood glucose management of Summary of Diabetes Self-Care Activities(SDSCA)were significantly higher compared with those of control group(t=-7.361,-10.186,-2.922,-11.039,-8.803,-9.257;P<0.05).Conclusion:Behavior stage-conversation mode corresponding psychological guidance can effectively improve the cognitive level and psychological resilience,promote the development of health behaviors,and help actively control the blood glucose of patients with type 2 diabetes mellitus.