团体认知行为治疗对2型糖尿病患者血糖和情绪症状的影响  

The effects of group cognitive behavioral therapy on blood glucose and emotional symptoms of patients with type 2 diabetes

作　　者：张玲俐[1,2] 吴舟 张钰群[4] 袁勇贵[1] 

机构地区：[1]东南大学附属中大医院心理精神科,江苏南京210009 [2]东南大学人文学院,江苏南京211189 [3]南京瑞海博康复医院,江苏南京210000 [4]东南大学医学院,江苏南京210009

出　　处：《实用医院临床杂志》2015年第6期16-19,共4页Practical Journal of Clinical Medicine

摘　　要：目的探索团体认知行为治疗在干预2型糖尿病患者中的作用,了解其对患者血糖水平、健康焦虑、患者糖尿病自我管理和健康状况方面的影响。方法选取在南京市瑞海博康复医院住院且符合研究标准的2型糖尿病患者23例,采用随机分组方式分为治疗组和对照组。对照组仅使用常规治疗(包括糖尿病教育),治疗组在此基础上加用6次的团体认知行为治疗。通过血糖测试、一般资料调查表、简式健康焦虑量表(short health anxiety inventory,SHAI)、糖尿病自我管理行为(the summary of diabetes self-care activities measure,SDSCA)、健康状况调查问卷(36-item short form health survey,SF-36),评估两组在治疗前后生理指标及心理指标的变化。结果治疗组患者的空腹血糖值、餐后2 h血糖、健康焦虑评分较治疗前显著下降,饮食管理水平较治疗前显著提升,治疗组RP维度和MH维度与对照组比较有显著提高,差异均有统计学意义(均P<0.05)。结论团体认知行为治疗可有效降低2型糖尿病患者的空腹血糖和餐后血糖,减轻患者的健康焦虑水平,提升其生理职能和精神健康水平,有效改善糖尿病患者生活质量。Objective The aim of present study is to explore the role of group cognitive behavioral therapy in patients with type 2 diabetes and to investigate its influences on patients＇ blood glucose levels,anxiety,diabetes self-management and health conditions. Methods Twenty-three type 2 diabetes inpatients who met the research standards from Nanjing Rui Hai Bo Medical Rehabilitation Center were recruited. The patients were randomly divided into treatment or control group. The control group was only treated with conventional treatment（ including diabetes education） and the treatment group received additional group cognitive behavioral therapy for 6times on the basis of conventional treatment. The blood glucose test,general information questionnaire,short health anxiety inventory（ SHAI）,summary of diabetes self-care activities measure（ SDSCA） and 36-item short form health survey（ SF-36） were used to evaluate the changes in physiological and psychological indicators after the treatment. Results After the treatment,the fasting blood glucose level,2 hour postprandial blood glucose and health anxiety scores in the treatment group were significantly decreased and the diet management level was significantly increased. The dimensions of RP and MH in the treatment group were obviously improved when compared to the control group（ all P〈0. 05）. Conclusion Group cognitive behavioral therapy can effectively reduce patients＇ fasting blood glucose and postprandial blood glucose,relieve their health anxiety level,enhance the level of physiological function and mental health,and improve the living quality of the patients.

关 键 词：2型糖尿病 团体认知行为治疗 血糖水平 健康焦虑 

分 类 号：R587.1[医药卫生—内分泌]