摘要
目的探讨患者中心疗法对糖尿病患者心理状况及行为的影响。方法将60例糖尿病患者随机分为对照组（30例）和干预组（30例），对下预组进行患者中心疗法干预，干预前后用症状自评量表（SCL-90）和糖尿病患者行为评估表对两组患者心理状况和行为状态进行评定。结果干预前两组患者在SCL-90量表各因子上得分的差异无统计学意义（P〉0．05），干预后两组比较，躯体化、强迫、人际关系敏感、敌对、恐怖、偏执、精神病性等因子均统计学意义（P〈0．01）；干预后两组患者在不良饮食习惯纠正、戒酒、复查时间的掌握及在血糖控制、峰持运动锻炼、戒烟方面的差异有统计学意义（P〈0．01），按时服用降糖药物或注射胰岛素无统计学意义（P〉0．05）。结论患者中心疗法对提高糖尿病患者的心理健康水平，增加其健康行为有积极的作用。
Objective To investigate the effect of patient-centered therapy on psychology and behavior in diabetes mellitus patients. Methods Sixty diabetes mellitus patients were randomly divided into the intervention group （n = 30 ） and the control group. Patient-centered therapy was used to the intervention group. Symptom Checklist （SCL-90） and diabetes mellitus behavior questionnaire were used to assess the psychology and behavior before and after the psychotherapy. Results The score of each factor of SCL-90 had no statistical meaning before the intervention between the two groups （ P 〉 0. 05 ）. After the intervention, somatization, obsessive-compulsive, interpersonal sensitivity, hostility, phobia, paranoia and psychosis had statistical meanings between two groups （P〈0. 01）. There were statistical meanings in correction of the bad diet habits, alcohol cessation, control of review time, glucose control, insisting on the excises, tobacco cessation between two groups （ P 〈 0. 01 ）, but no statistical difference in the on-time use of medication and insulin （ P 〉 0. 05 ）. Conclusions Patient-centered therapy can obviously improve the mental health in diabetes patients, and has positive effects in promoting their healthy behavior.
出处
《中华现代护理杂志》
2008年第22期2341-2344,共4页
Chinese Journal of Modern Nursing
基金
2006年陕西省社发攻关项目（2006k14-G4）
关键词
糖尿病
患者中心疗法
心理干预
心理
行为
Diabetes mellitus
Patient-centered therapy
Psychotherapy
Psychology
Behavior
