认知行为疗法改善糖尿病患者心理痛苦的临床价值

Clinical Value of Cognitive Behavioral Therapy in Improving Psychological Distress in Diabetic Patients

目的分析认知行为疗法对改善糖尿病患者心理痛苦的临床价值。方法选取2020年1月至2023年1月于海口市人民医院内分泌代谢科就诊的200例糖尿病患者为研究对象,按随机数字表法分为实验组和对照组,各组100例。对照组予以常规干预,实验组在对照组基础上予以认知行为疗法。对比两组患者的心理状态,抑郁自评量表(Self-Rating Depression,SDS)评分和焦虑自评量表(Self-rating Anxiety Scale,SAS)评分,以及糖尿病痛苦量表(Diabetes Pain Scale,DDS)评分、糖尿病自我管理量表(Diabetes Self management Scale,SDSCA-6)评分、匹茨堡睡眠指数量表(Pittsburgh Sleep Index Scale,PSQI)评分、生活质量综合评定量表(Comprehensive Quality of Life Assessment Scale,GQOLI-74)评分。结果干预后,实验组SDS评分、SAS评分较对照组低(P<0.05);实验组情感负担、生活规律、医生相关、人际关系评分较对照组低(P<0.05);实验组饮食控制、运动管理、血糖监测、遵医用药评分较对照组高(P<0.05);实验组PSQI评分较对照组低(P<0.05);实验组躯体功能、心理功能、社会功能、总体健康评分较对照组高(P<0.05)。结论对糖尿病患者予以认知行为疗法可改善患者心理状态,减轻心理痛苦,提高自我管理效能,提高睡眠质量和生活质量。

Objective To analyze the clinical value of cognitive behavioral therapy in alleviate psychological distress in diabetic patients.Methods 200 diabetes patients in our hospital from January 2020 to January 2023 were selected and divided into the experimental group and the control group according to random number table method,with 100 cases in each group.The control group received conventional intervention,and the experimental group received cognitive behavioral therapy on the basis of the control group.The psychological status,Self�Rating Depression(SDS)score,self-rating anxiety scale(SAS)score,Diabetes Pain Scale(DDS)score,Diabetes Self management Scale(SDSCA-6)score,Pittsburgh Sleep Index Scale(PSQI)score,and Comprehensive Quality of Life Assessment Scale(GQOLI-74)score of the two groups are compared.Results After intervention,the scores of SDS and SAS in the experimental group were lower than those in the control group(P<0.05).After intervention,the scores of emotional burden,life regularity,doctor correlation,and interpersonal relationship in the experimental group were lower than those in the control group(P<0.05).After intervention,diet control,exercise management,blood glucose monitoring and medical drug scores of the experimental group were higher than those of the control group(P<0.05).After the intervention,the PSQI score of the experimental group was lower than that of the control group(P<0.05).After intervention,the scores of physical function,psychological function,social function and overall health of the experimental group were higher than those of the control group(P<0.05).Conclusion Cognitive behavioral therapy can improve the psychological state,relieve psychological pain,improve self-management efficiency,improve sleep quality,and improve quality of life of diabetic patients.