摘要
目的 探讨正念训练对2型糖尿病患者心理痛苦及生活质量的影响,为糖尿病患者进行护理干预提供依据.方法 将90例住院的2型糖尿病患者利用随机数字表随机分为对照组和观察组,各45例.对照组给予常规健康教育,观察组在此基础上由心理咨询师、教育护士等7名成员组成的正念干预团队对患者进行正念训练,两组患者均随访6个月,测量两组患者干预前后6个月糖尿病相关心理痛苦及生活质量评分,采用t检验进行组间比较.结果 干预后观察组糖尿病相关心理痛苦总分及各维度得分分别为(1.81±0.40)、(1.99±0.45)、(1.45±0.20)、(2.01±0.27)、(1.51±0.21)分,对照组分别为(2.07±0.24)、(2.21±0.40)、(1.61±0.19)、(2.57±0.25)、(2.20±0.23)分,观察组低于对照组,差异均有统计学意义(t值分别为3.54、2.32、3.69、9.68、14.11;P<0.05).观察组生活质量疾病维度、生理维度、心理维度、社会维度及满意度维度得分分别为(28.41±5.40)、(21.05±4.16)、(21.08±5.16)、(19.04±3.30)、(22.84±3.79)分,对照组分别为(36.08±5.20)、(23.80±5.00)、(24.11±5.22)、(21.34±3.47)、(24.64±3.50)分,观察组低于对照组,差异均有统计学意义(t值分别为6.51、2.69、2.63、3.06、2.22;P<0.05).结论 正念训练有助于减轻2型糖尿病患者糖尿病相关心理痛苦,提高患者的生活质量.
Abstract
Objective To evaluate the effects of mindfulness training on diabetes-related distress and quality of life in patients with type 2 diabetes mellitus, so as to provide evidence for nursing interventions. Methods A total of 90 inpatients with type 2 diabetes mellitus were randomly assigned to a control group and an observation group of 45 cases. The control group received routine health education, while the observation group received mindfulness training by the mindfulness training team composed of seven members including psychological counselors and nurse educators. Both groups were followed up for 6 months, and the scores of diabetes-related distress and quality of life were measured before and 6 months after the intervention. t-test was adopted to compare the difference between the two groups. Results After the intervention, the total score and scores of each dimension of diabetes-related distress in the observation group were (1.81±0.40), (1.99±0.45), (1.45±0.20), (2.01±0.27), and (1.51±0.21) respectively. Correspondingly, the scores of the control group were (2.07±0.24), (2.21±0.40), (1.61±0.19), (2.57±0.25) and (2.20±0.23), which were all higher than the observation group, with statistical differences (t=3.54, 2.32, 3.69, 9.68, 14.11;P<0.05). The scores of quality of life in disease dimension, physiological dimension, psychological dimension, social dimension and satisfaction dimension were (28.41±5.40), (21.05±4.16), (21.08±5.16), (19.04±3.30) and (22.84±3.79) in the observation group, which were all lower than those in the control group respectively [(36.08±5.20), (23.80±5.00), (24.11±5.22), (21.34±3.47), (24.64±3.50)], the differences were statistically significant (t=6.51, 2.69, 2.63, 3.06, 2.22;P< 0.05). Conclusions Mindfulness training can reduce the degree of diabetes-related distress and improve the quality of life in patients with type 2 diabetes mellitus.
NETL
NSTL
维普
万方数据