心理弹性支持结合时效激励干预对首诊2型糖尿病患者疾病进展恐惧、自我效能及预后的影响

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中文摘要：目的:探究心理弹性支持结合时效激励干预对首诊2型糖尿病(T2DM)患者疾病进展恐惧、自我效能及预后的影响。方法:选取2022年3月-2024年3月收治的88例T2DM患者为研究对象，随机数表法分为干预组(n=44)、参照组(n=44)。干预组给予心理弹性支持结合时效激励干预，参照组给予常规护理。比较两组患者干预前后疾病进展恐惧[恐惧疾病进展简化量表(FoP-Q-SF)]、自我效能[糖尿病管理自我效能量表(DMSE)]、社会支持[感知社会支持量表(PSSS)]、生活质量[糖尿病生存质量量表(DSQL)]、预后情况[空腹血糖(FBG)、餐后2 h血糖(2 h-PG)、糖化血红蛋白(HbA1c)]。结果:干预后，患者FoP-Q-SF、DSQL评分、FBG、2 h-PG、HbAlc水平均明显降低，且干预组低于参照组(t=6。907，8。655，6。094，4。342，4。606;P＜0。05)，两组DMSE、PSSS评分均高于干预前，且干预组高于参照组(t=5。516，3。635;P＜0。05)。结论:在首诊T2DM患者中，使用心理弹性支持结合时效激励干预能够减轻患者对疾病进展的恐惧，提高其自我效能，改善其血糖控制水平。

外文标题：Influence of psychological resilience support combined with time-effective incentive intervention on fear of disease progression,self-efficacy and prognosis in patients with type 2 diabetes mellitus

外文摘要：Objective:To explore the influence of psychological resilience support combined with time-effective in-centive intervention on fear of disease progression,self-efficacy and prognosis in patients with type 2 diabetes melli-tus(T2DM).Methods:A total of 88 patients with T2DM in the hospital were selected from March 2022 to March 2024 as the research subjects,and were divided into intervention group(n=44)and reference group(n=44)by adop-ting random number table method.The intervention group was given psychological resilience support combined with time-effective incentive intervention,while the reference group was given routine nursing.The fear of disease pro-gression[Fear of Progression Questionnaire-Short Form(FoP-Q-SF)],self-efficacy[Diabetes Management Self-Efficacy Scale(DMSE)],social support[Perceived Social Support Scale(PSSS)],quality of life[Disease Spe-cific Quality of Life(DSQL)]and prognosis status[fasting blood glucose(FBG),2h postprandial blood glucose(2h-PG),glycosylated hemoglobin(HbA1c)]were compared between groups before and after intervention.Results:After intervention,the scores of FoP-Q-SF and DSQL and levels of FBG,2h-PG and HbAlc were significantly de-creased,and the scores and levels in intervention group were lower than those in reference group(t=6.907,8.655,6.094,4.342,4.606;P＜0.05).The scores of DMSE and PSSS in both groups were higher than those before interven-tion,and the scores were higher in intervention group than those in reference group(t=5.516,3.635;P＜0.05).Con-clusion:For patients with newly-diagnosed T2DM,the application of psychological resilience support combined with time-effective incentive intervention can relieve the fear of disease progression,enhance the self-efficacy,and im-prove the blood glucose control.

外文关键词：

Type 2 diabetes mellitusPsychological resilience supportTime-effective incentiveFear of disease progressionSelf-efficacy

作者：

王霞、李巍、李淑锋

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作者单位：

河南省驻马店市中心医院老年医学科 463000

关键词：

2型糖尿病心理弹性支持时效激励疾病进展恐惧自我效能

出版年：

2025

DOI：