团体心理治疗妊娠糖尿病的疗效  

The Effect of Group Psychotherapy on Patients with Gestational Diabetes Mellitus.

作　　者：刘建安[1] 高定国[2] 高小红[3] 严应元[3] 

机构地区：[1]中山大学公共卫生学院妇幼卫生系 [2]中山大学心理系 [3]深圳市宝安区妇幼保健院

出　　处：《中国健康心理学杂志》2013年第6期939-942,共4页China Journal of Health Psychology

摘　　要：目的探讨团体心理治疗对妊娠糖尿病的干预方式及疗效。方法将符合妊娠期糖尿病诊断标准72例患者,随机分成对照组和观察组(各36人),对照组进行常规临床治疗和健康教育,观察组进行常规临床治疗和团体心理治疗。采用2型糖尿病患者生活质量量表(DMQLS)分别于治疗前及治疗后第3,6,9,12周末评定干预效果;此外在治疗前后分别对两组施测糖尿病知识测试问卷(DKT),糖尿病自我管理效能问卷(DMSES),糖尿病自我管理量表(SDSCA),并对其评分及临床疗效进行比较。结果治疗3周后,DMQLS评分中观察组心理和满意水平的改善快于对照组(t1=4.07,P<0.01;t2=2.58,P<0.05)而且在治疗不同时点,对照组和观察组DMQLS总分均持续下降(F1=3.01,F2=4.28;P<0.05),在治疗不同时点,观察组有些DMQLS维度分及其总分显著低于对照组(P<0.05或P<0.01),干预后观察组自我管理知识、效能和技能评分较对照组显著提高(P<0.05);观察组未用胰岛素治疗率显著低于对照组(χ2=P<0.01),但血糖控制满意率显著高于对照组(P<0.05),孕妇并发症发生率显著低于对照组(P<0.05),自我效能与DMQLS各项得分均显著负相关(r=-0.315,-0.322,-0.416,-0.303,-0.422,-0.429;P<0.05)。结论团体心理治疗能提高患者知识、效能和技能水平,改善GDM生活质量和临床疗效。Objective To investigate the effect of supportive group psychotherapy（SGP） in patients with gestational diabetes mellitus（GDM）.Methods A total of 72 patients were randomly assigned to control group and observation group,36 cases each group.All patients in two groups received routine clinical treatment and general education.But patients in the observation group also received self-management-centered SGP for an 12-week.The efficacy was assessed with DMQLS（quality of life scale for patients with Type 2 diabetes mellitus）.Patients Rating Scale and lab test were used to compare independently both at base line and at the end of week 3,6,9 and 12,including DMQLS,DKT（Diabetes Knowledge Test）,DMSES（diabetes management self-efficacy scale）,SDSCA,（summary of diabetes self-care activities）and clinical condition.Results The DMQLS scores in two groups were significantly decreased in 3,6,9 and 12 weeks after treatment（P0.05 or 0.01）,But compared to the control group,the observational group had significant improvement in the scores at mentality and satisfaction at the end of week 3 after a 12-week SGP,blood sugar control satisfaction rate significantly higher in the observation group than in control group（P0.05）;The insulin therapy and complication were significantly lower than those of the control group（P0.05）;The knowledge,self-efficacy and skills were significantly better than those in control group（P0 05）.There was significantly negative correlation between the level of self-efficacy and all factor scores of DMQLS（P0.05）.Conclusion SGP can improve patients＇ knowledge,self-efficacy and skills levels,It may be an effective way to promote quality of life and clinical efficacy for GDM patients.

关 键 词：心身疾病 妊娠糖尿病 团体心理治疗 疗效 

分 类 号：R395.6[哲学宗教—心理学]