心理干预在2型糖尿病患者心理性胰岛素抵抗中的应用  

Application of psychological intervention to the psychological resistance against insulin in patients with type 2 diabetes

作　　者：李春英[1] 陈淑芹[1] 臧萍[1] 

机构地区：[1]潍坊医学院附属医院,山东潍坊261031

出　　处：《齐鲁护理杂志（下旬刊）》2010年第8期29-30,共2页Journal of Qilu Nursing

摘　　要：目的:探讨心理干预在2型糖尿病患者心理性胰岛素抵抗中的应用效果。方法:将240例2型糖尿病患者随机分为非胰岛素治疗组和胰岛素治疗组各120例,非胰岛素治疗组随机分为非胰岛素干预组和非胰岛素对照组各60例,非胰岛素对照组采用饮食控制和口服降糖药物治疗,非胰岛素干预组在此基础上给予心理干预;胰岛素治疗组随机分为胰岛素干预组和胰岛素对照组各60例,胰岛素对照组采用常规治疗加胰岛素治疗,胰岛素干预组在此基础上给予心理干预。结果:非胰岛素干预组干预后对注射胰岛素态度与对照组比较差异有统计学意义(P<0.01),胰岛素干预组干预后对增加注射胰岛素次数态度与对照组比较差异有统计学意义(P<0.01)。结论:将心理干预应用于2型糖尿病患者中,可使患者心理性胰岛素抵抗得到改善,提高对胰岛素治疗依从性。Objective ： To investigate the effect of psychological intervention on the psychological resistance against insulin in patients with type 2 diabetes. Methods ： 240 patients with type 2 diabetes were randomly divided into non - insulin therapy group and insulin therapy group （ 120 cases for each group） , and non - insulin therapy group were further divided into psychological in- tervention group and control group （ 60 cases for each group）. The patients in the control group were treated with diet control and oral therapy with hypoglycemic drugs and the patients in the intervention group were additionally given psychological intervention based on the measures taken in the control group. Results ： The attitudes of the patients towards injection of insulin were significantly different between the intervention group and control group （ P 〈 0. 01 ） ; the attitudes towards increasing times of insulin injection were also significantly different between the two groups （P 〈 0. 01 ）. Conclusion： The psychological intervention applied to the patients with type 2 diabetes can improve their psychological resistance against insulin so as to improve treatment compliance.

关 键 词：2型糖尿病 心理性胰岛素抵抗 心理干预 

分 类 号：R473.5[医药卫生—护理学]