正念认知疗法对2型糖尿病合并脑卒中患者的影响  

Impact of Mindfulness-Based Cognitive Therapy on Patients with Type 2 Diabetes Mellitus and Stroke

作　　者：李佩丽[1] 贺爽[2] 方圆圆[3] LI Peili;HE Shuang;FANG Yuanyuan(Department of Public Affairs,Henan Provincial People’s Hospital,Zhengzhou 450000,China;Department of Neurology,Henan Provincial People’s Hospital,Zhengzhou 450000,China;Department of Endocrinology and Metabolism,Henan Provincial People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院公共事业科,河南郑州450000 [2]河南省人民医院神经内科,河南郑州450000 [3]河南省人民医院内分泌及代谢病科,河南郑州450000

出　　处：《河南医学研究》2025年第8期1408-1411,共4页Henan Medical Research

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20230015);河南省医学科技攻关计划软科学项目(RKX202202001)。

摘　　要：目的 探究正念认知疗法对2型糖尿病(T2DM)合并缺血性脑卒中患者的血糖控制及心理健康的疗效。方法 招募2023年1—9月于河南省人民医院神经内科住院的T2DM合并缺血性脑卒中60例,随机分为常规治疗组及联合正念组,每组30例,进行为期8周的治疗,比较两组患者治疗前后的血糖控制水平及心理健康问卷评分,比较两组疗效。结果 治疗后,两组空腹血糖(FBG)水平下降(P<0.05),但组间差异无统计学意义;两组糖化血红蛋白(HbA1c)水平降低,但组间、组内差异无统计学意义(P>0.05)。干预后,联合正念组患者蒙特利尔认知评估量表(MoCA)、匹兹堡睡眠质量指数量表(PSQI)、患者健康问卷-9(PHQ-9)评分优于常规治疗组(P<0.05)。结论 正念认知疗法可改善T2DM合并缺血性脑卒中患者的空腹血糖水平及心理健康状态。Objective To explore the efficacy of mindfulness-based cognitive therapy on glycemic control and mental health in patients with type 2 diabetes mellitus(T2DM)complicated by stroke.Methods Sixty T2DM patients with ischemic stroke admitted to the Department of Neurology in Henan Provincial People’s Hospital from January to September 2023 were recruited and randomly divided into a conventional treatment group and a combined mindfulness group,with 30 patients in each group,for a period of 8 weeks of treatment.The blood glucose control levels and psychological health questionnaire scores of two groups of patients before and after treatment were compared,and the therapeutic effects of the two groups were compared.Results After treatment,the fasting blood glucose(FBG)levels in both groups decreased(P<0.05),but the difference between the groups was not statistically significant.The hemoglobin A1c(HbA1c)levels of the two groups decreased,but there was no statistically significant difference between or within the groups(P>0.05).After intervention,the Montreal cognitive assessment(MoCA),Pittsburgh sleep quality index(PSQI)and patient health questionnaire-9(PHQ-9)scores of patients in the combined mindfulness group were better than those in the conventional treatment group(P<0.05).Conclusion Mindfulness based cognitive therapy can improve fasting blood glucose levels and mental health status in patients with T2DM and ischemic stroke.

关 键 词：2型糖尿病 缺血性脑卒中 心理干预 正念认知疗法 

分 类 号：R587.1[医药卫生—内分泌]