健康教育与运动干预对2型糖尿病伴发焦虑的效果评价  

Assessment of Efficacy of Health Education and Exercise Interventions for Type 2 Diabetes Patients with Anxiety

作　　者：王智玉[1] 肖晶[2] 褚松龄[3] 

机构地区：[1]首都师范大学社区卫生服务中心,北京100048 [2]北京市学习与认知重点实验室首都师范大学教育学院心理系,北京100089 [3]北京大学第一附属医院中西医结合科,北京100034

出　　处：《中国临床心理学杂志》2012年第2期275-278,共4页Chinese Journal of Clinical Psychology

摘　　要：目的:探讨健康教育与运动干预对2型糖尿病伴发焦虑患者在焦虑、糖代谢及主观幸福感方面的影响。方法:采用特质焦虑量表(TAI)、纽芬兰纪念大学主观幸福感量表(MUNSH)对120例2型糖尿病伴发焦虑患者进行测评,并随机分成对照组、健康教育组、运动干预组、健康教育加运动干预组各30人。在原有药物治疗不变的情况下,对不同组别施以相应的干预方式。结果:3个月后,对照组治疗前后各项指标无明显变化;健康教育组TAI水平显著下降;运动干预组糖化血红蛋白(HbA1c)水平下降明显;健康教育合并运动干预组TAI、HbA1c水平显著下降;MUN-SH水平显著提高。结论:健康教育可以明显降低焦虑程度,运动干预可明显改善糖代谢,健康教育与运动干预共用可同时改善焦虑及糖代谢,并提高患者的主观幸福感。Objective： To explore the influence of health education and physical activity intervention on anxiety,sugar metabolism and subjective well-being in patients with type 2 diabetes associated with anxiety.Methods： Glycated Hemoglobin（HbA1c）,Trait Anxiety Inventory（TAI） and Memorial University of Newfoundland Scale of Happiness（MUNSH） were used to evaluate the condition of 120 patients with type 2 diabetes associated with anxiety.The patients participated in the study were randomly divided into health education group,physical activity intervention group,health education plus physical activity intervention group and control group,with 30 cases in each group.For all patients,the original drug based therapeutic schedule maintained the same;and different interventions were given to various group.Results： After 3 months,the TAI score of patients in health education group obviously decreased;the HbA1c level of patients in physical activity intervention group also decreased;the health education plus physical activity intervention group was observed that all three indicators（HbA1c level,TAI score,MUNSH score） were obviously improved.As for the control group,the indicators were not changed before and after the study.Conclusion： Health education can obviously release anxiety;physical activity intervention can obviously improve sugar metabolism;health education plus physical activity intervention can release anxiety,improve sugar metabolism and enhance subjective well-being in patients with type 2 diabetes associated with anxiety,so it has the best effect and is worth popularizing in the community.

关 键 词：2型糖尿病 焦虑 糖代谢 主观幸福感 健康教育 运动干预 

分 类 号：R395.5[哲学宗教—心理学]