正念减压训练对糖尿病患者睡眠质量、应对适应能力及血糖控制的影响

Effects of Mindfulness-based Stress Reduction Training on Sleep Quality,Coping Adaptability and Blood Glucose Control in Diabetes Patients

目的:探讨正念减压训练对糖尿病患者睡眠质量、应对适应能力及血糖控制的影响。方法:选取2020年3月至2021年10月联勤保障部队第九〇九医院收治的糖尿病患者共58例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组29例。对照组给予常规护理,观察组在此基础上给予正念减压训练。对比2组患者的睡眠质量、应对适应能力及血糖控制效果。结果:干预后,观察组匹兹堡睡眠质量指数量表(PSQI)得分低于对照组(P<0.05),观察组简易罗伊应对适应量表(CAPS-15)得分高于对照组(P<0.05)。干预后观察组空腹血糖(FBG)、餐后2 h血糖(2 h PG)低于对照组(P<0.05),2组患者的糖化血红蛋白水平(Hb A1c)比较差异无统计学意义(P>0.05)。结论:正念减压训练可改善糖尿病患者的睡眠质量和应对适应能力,有助于控制血糖。

Objective:To explore the effects of mindfulness-based stress reduction training on sleep quality,coping adaptability and blood glucose control in patients with diabetes.Methods:A total of 58 diabetic patients who were admitted to our hospital from March 2020 to October 2021 were selected and divided into the control group(29 cases) and the observation group(29 cases) according to the random number table method.The control group was given routine nursing,and the observation group was given mindfulness decompression training on this basis.The sleep quality,coping and adaptive capacity adaptability and blood glucose control effect were compared between the two groups.Results:After the intervention,the Pittsburgh Sleep Quality Index(PSQI) score in the observation group was lower than that in the control group,and the simple Roy Coping Adaptation Scale(CAPS-15) score in the observation group was higher than that in the control group(P<0.05).After intervention,the fasting blood glucose(FBG) and twohour postprandial blood glucose(2 h PG) of the observation group were lower than those of the control group(P<0.05).There was no significant difference in the level of Hemoglobin a1c(HbA1c) between the two groups(P>0.05).Conclusion:Mindfulnessbased stress reduction training can improve the sleep quality and coping adaptability of diabetic patients,and help control blood glucose.