【摘要】：目的了解和評估2型糖尿病住院患者的焦慮、抑郁及自我管理行為現(xiàn)狀,并探討其相關性,為進行針對性的心理干預提供科學依據(jù);探討壓力接種訓練(SIT)對2型糖尿病住院患者的應用價值。方法1.2型糖尿病住院患者焦慮、抑郁及自我管理行為狀況的調查:一般資料調查表調查患者的基本情況,焦慮自評量表、抑郁自評量表和自我管理行為量表為研究工具,調查患者的心理及自我管理行為,并分析其相關性。2.SIT對改善患者心理、自我管理行為及血糖控制的效果:將入選的70例2型糖尿病住院患者隨機分為對照組和試驗組,每組各35例,對照組給予常規(guī)教育,試驗組在對照組的基礎上進行SIT,每周一次,每次60分鐘,共8周。兩組分別在干預前后評價患者的焦慮、抑郁和自我管理行為,在干預前后監(jiān)測患者空腹血糖、糖化血紅蛋白的指標。統(tǒng)計學方法包括:t檢驗、χ2檢驗、Pearson相關性分析。結果1.2型糖尿病住院患者焦慮、抑郁及自我管理行為現(xiàn)狀。(1)焦慮、抑郁情緒:本研究210例2型糖尿病住院患者中,患者的焦慮總粗分為(44.28±7.71),抑郁總粗分為(43.34±10.14),均高于國內常模,且差異均有統(tǒng)計學意義(P0.05)。(2)自我管理行為現(xiàn)狀:本研究210例2型糖尿病住院患者中,自我管理總分為(80.27±14.98)分,處于中等水平,其中遵醫(yī)囑用藥得分最高,其次為足部護理、預防及處理高低血糖、飲食控制、規(guī)律鍛煉、得分最低的是血糖監(jiān)測。(3)2型糖尿病住院患者自我管理行為與焦慮、抑郁情緒的關系:自我管理行為得分與焦慮、抑郁均呈負相關(r值分別為-0.437和-0.346;P0.05)。2.SIT對患者焦慮、抑郁、自我管理行為及血糖控制的影響。(1)干預前,兩組患者焦慮、抑郁和自我管理行為得分差異無統(tǒng)計學意義,P0.05;干預后,試驗組SAS得分為(49.59±4.78)、SDS得分為(51.67±5.75),顯著低于對照組SAS(55.65±5.84),SDS(56.63±5.34),試驗組2-DSCS得分(68.10±8.26)顯著高于對照組(62.59±7.68),差異有統(tǒng)計學意義,P0.05。(2)干預前,兩組患者在空腹血糖、糖化血紅蛋白方面差異無統(tǒng)計學意義,P0.05;干預后,試驗組空腹血糖(7.38±1.46)顯著低于對照組(8.57±1.45),差異有統(tǒng)計學意義,P0.05;干預后,試驗組糖化血紅蛋白得分(8.62±0.76)與對照組(8.73±0.54)差異不明顯,P0.05。結論1.2型糖尿病住院患者伴有不同程度的焦慮、抑郁情緒,其自我管理行為不容樂觀。2.2型糖尿病住院患者的自我管理行為與其焦慮、抑郁情緒均呈負相關。3.SIT能有效改善2型糖尿病住院患者的心理健康狀況,提高患者的自我管理水平,改善血糖控制。
[Abstract]:Objective to investigate and evaluate the anxiety, depression and self-management behavior of type 2 diabetes mellitus inpatients, and to explore the correlation between them, and to provide scientific basis for psychological intervention. To explore the application value of stress inoculation training (SIT) in type 2 diabetes mellitus inpatients. Methods A survey of anxiety, depression and self-management behavior in in-patients with type 1.2 diabetes mellitus was conducted. The general information questionnaire was used to investigate the basic situation of the patients, and self-rating anxiety scale, self-rating depression scale and self-management behavior scale were used as the research tools. The effects of 2.SIT on improving patients' psychology, self-management behavior and blood glucose control were investigated. 70 inpatients with type 2 diabetes mellitus were randomly divided into control group and experimental group. 35 cases in each group, the control group was given routine education, and the experimental group was given SIT, once a week for 60 minutes for 8 weeks on the basis of the control group. Anxiety, depression and self-management behavior were evaluated before and after intervention. Fasting blood glucose and glycosylated hemoglobin were monitored before and after intervention. Statistical methods included t test, 蠂 2 test and Pearson correlation analysis. Results the status of anxiety, depression and self-management behavior in type 1.2 diabetes mellitus inpatients were as follows: (1) anxiety and depression: in 210 inpatients with type 2 diabetes mellitus, the total gross anxiety was (44.28 鹵7.71). The total gross score of depression (43.34 鹵10.14) was higher than that of domestic norm, and the difference was statistically significant (P0.05). (2). The total score of self-management was (80.27 鹵14.98), which was in the middle level. The highest score was according to doctor's advice, followed by foot nursing, prevention and treatment of high hypoglycemia, diet control and regular exercise. The lowest score was blood glucose monitoring. (3) the relationship between self-management behavior and anxiety and depression in patients with type 2 diabetes mellitus: the scores of self-management behavior were negatively correlated with anxiety and depression (r = -0.437 and -0.346 respectively); P05). The effect of 2.SIT on anxiety, depression, self-management behavior and blood glucose control. (1) before intervention, there was no significant difference in scores of anxiety, depression and self-management behavior between the two groups (P0.05; After intervention, the SAS score of the trial group was (49.59 鹵4.78), SDS (51.67 鹵5.75), which was significantly lower than that of the control group (55.65 鹵5.84), SDS (, 56.63 鹵5.34). The 2-DSCS score of the trial group (68.10 鹵8.26) was significantly higher than that of the control group (62.59 鹵7.68), the difference was statistically significant. (2) before intervention, there was no significant difference in fasting blood glucose and glycosylated hemoglobin between the two groups. P0.05; After intervention, fasting blood glucose in the trial group (7.38 鹵1.46) was significantly lower than that in the control group (8.57 鹵1.45), the difference was statistically significant (P 0.05). After intervention, the score of glycosylated hemoglobin in the test group (8.62 鹵0.76) was not significantly different from that in the control group (8.73 鹵0.54), P 0.05. Conclusion the in-patients with type 1.2 diabetes mellitus have different degree of anxiety and depression, and their self-management behavior is not optimistic. 2.2 the self-management behavior and anxiety of type 2.2 diabetic inpatients are not optimistic. 3.SIT can effectively improve the mental health, self-management and blood glucose control of patients with type 2 diabetes mellitus.
【學位授予單位】：青島大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R473.5

【參考文獻】

相關期刊論文 前10條

1 孫娟;張會敏;朱麗麗;;以家庭為中心的健康教育對社區(qū)糖尿病患者自我管理水平的影響[J];中國老年學雜志;2016年17期

2 趙小榮;童紅梅;李紅科;楊濤;;營養(yǎng)干預對2型糖尿病患者血糖水平影響及多因素Logistic分析[J];西部中醫(yī)藥;2016年07期

3 高群;;同伴教育對社區(qū)老年糖尿病患者自我管理能力及生活質量的影響[J];臨床護理雜志;2016年03期

4 顏萍平;湯觀秀;高飛;王艷;雷俊;曾暉;夏妙娟;;基于跨理論模型的動機性訪談對老年2型糖尿病患者血糖及自我管理行為的影響[J];中國全科醫(yī)學;2016年15期

5 朱瀟瀟;霍瑞婷;朱晨晨;關小宏;;影響2型糖尿病患者抑郁發(fā)生的因素分析[J];山西醫(yī)科大學學報;2016年03期

6 劉憲紅;豐慧慧;牛金葆;杜麗霞;吳紹華;;2型糖尿病患者合并焦慮情緒的調查分析[J];臨床合理用藥雜志;2016年05期

7 黃圣雁;陳峰英;蔣曦媛;陳基煒;;聚焦解決模式對2型糖尿病患者血糖影響的Meta分析[J];護理學報;2016年03期

8 王芳;袁麗;李饒;熊真真;;住院2型糖尿病患者自我管理行為現(xiàn)狀及影響因素分析[J];護理學雜志;2015年17期

9 石筱溪;;低強度規(guī)律有氧運動對2型糖尿病患者血糖和心肺功能的影響[J];中國老年學雜志;2015年16期

10 李饒;袁麗;;住院2型糖尿病病人自我管理與負性情緒現(xiàn)狀及相關性研究[J];護理研究;2015年16期

相關碩士學位論文 前4條

1 王欣;團體認知行為干預在2型糖尿病護理中的應用研究[D];河南大學;2012年

2 孫曉敏;應對技能干預在2型糖尿病患者自我管理中的應用研究[D];南京醫(yī)科大學;2012年

3 張維;降低復讀生心理應激強度機制的干預研究——壓力接種技術[D];陜西師范大學;2010年

4 王順鈺;2型糖尿病患者的心理健康狀況及其心理干預效果[D];大連醫(yī)科大學;2006年

，

本文編號：2299857