基于“元认知”的正念认知疗法对糖尿病前期病人焦虑情绪和血糖的影响

Effects of metacognition-based mindfulness based cognitive therapy on anxiety and blood glucose in prediabetic patients

目的:探讨基于“元认知”的正念认知疗法(mindfulness-based cognitive therapy,MBCT)对糖尿病(DM)前期病人焦虑情绪、元情绪能力和血糖水平的影响。方法:选取门诊确诊的有心理需求的DM前期病人126例,依据随机数字表法分为观察组和对照组,各63例。对照组给予传统教育模式,观察组在对照组基础上给予基于“元认知”的MBCT模式干预。比较2组干预前和干预3个月后的焦虑自评量表得分、元情绪能力评分、DM基本认知和行为习惯得分及血糖控制情况。结果:干预前,2组相关指标差异均无统计学意义(P>0.05);干预后,观察组病人的焦虑自评量表得分、元情绪能力评分、DM基本认知和行为习惯问卷得分及血糖指标均明显优于对照组(P<0.01)。结论:基于“元认知”的MBCT可以提升病人的元情绪能力,有效缓解病人焦虑情绪,提高疾病知识,有助于有效控制病人血糖水平。

Objective:To investigate the effect of mindfulness-based cognitive therapy(MBCT)based on metacognition on anxiety,meta-emotional ability and blood glucose of prediabetic patients.Methods:A total of 126 cases of prediabetic patients with psychological needs diagnosed in the endocrine clinic were selected and randomly divided into control group and study group,with 63 cases in each group.The control group was given the traditional education model.On the basis of this,the study group was given metacognition-based MBCT.The effects of self-rating anxiety scale(SAS),trait meta-mood scale(TMMS),disease knowledge and behavior scores,and blood glucose control were compared before and after intervention 3 months.Results:Before intervention,there was no significant difference in related indexes between the two groups(P>0.05).After intervention,SAS,TMMS,disease knowledge and behavior scores,and blood glucose control levels of the study group were all better than those of the control group(P<0.01).Conclusions:Metacognition-based MBCT can improve patients′metacognitive ability,effectively relieve anxiety,improve disease knowledge score,and effectively control blood glucose level.