国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2010年
5期
741-743
,共3页
李煜%陈支援%刘红联%顾惠琳%王健萍%孙玉梅%丁随新%胡慧萍%赵春岚%郁沁
李煜%陳支援%劉紅聯%顧惠琳%王健萍%孫玉梅%丁隨新%鬍慧萍%趙春嵐%鬱沁
리욱%진지원%류홍련%고혜림%왕건평%손옥매%정수신%호혜평%조춘람%욱심
2型糖尿病%社区%聚焦解决模式%心理干预
2型糖尿病%社區%聚焦解決模式%心理榦預
2형당뇨병%사구%취초해결모식%심리간예
Diabetes mellitus%Community%Solution focused approach%Psychological intervention
目的 探讨聚焦解决模式对社区2型糖尿病患者负性情绪和社会支持水平影响.方法 将120例社区2型糖尿病患者随机分为研究组与对照组各60例.观察组按照聚焦解决模式5个步骤进行干预、健康教育,对照组按照常规内容和模式进行健康教育,分别于干预前、后对两组患者的糖尿病情绪(HAMA、HAMD)、社会支持水平及血压、糖化血红蛋白等进行比较.结果 干预前后比较,干预组HAMA评分较干预前、对照组有明显下降(P<0.05),HAMD评分虽然没有统计学意义,但也有一定程度降低.干预组的社会支持总分、主观支持、对支持利用度均有明显改善(P<0.05).两组患者干预前后各生物学指标差异没有统计学意义(P>0.05).结论 采用聚焦解决模式对社区2型糖尿病患者实施针对性心理干预,可改善患者焦虑情绪以及社会支持水平,但对血糖、糖化血红蛋白等生物学指标没有明显改变.
目的 探討聚焦解決模式對社區2型糖尿病患者負性情緒和社會支持水平影響.方法 將120例社區2型糖尿病患者隨機分為研究組與對照組各60例.觀察組按照聚焦解決模式5箇步驟進行榦預、健康教育,對照組按照常規內容和模式進行健康教育,分彆于榦預前、後對兩組患者的糖尿病情緒(HAMA、HAMD)、社會支持水平及血壓、糖化血紅蛋白等進行比較.結果 榦預前後比較,榦預組HAMA評分較榦預前、對照組有明顯下降(P<0.05),HAMD評分雖然沒有統計學意義,但也有一定程度降低.榦預組的社會支持總分、主觀支持、對支持利用度均有明顯改善(P<0.05).兩組患者榦預前後各生物學指標差異沒有統計學意義(P>0.05).結論 採用聚焦解決模式對社區2型糖尿病患者實施針對性心理榦預,可改善患者焦慮情緒以及社會支持水平,但對血糖、糖化血紅蛋白等生物學指標沒有明顯改變.
목적 탐토취초해결모식대사구2형당뇨병환자부성정서화사회지지수평영향.방법 장120례사구2형당뇨병환자수궤분위연구조여대조조각60례.관찰조안조취초해결모식5개보취진행간예、건강교육,대조조안조상규내용화모식진행건강교육,분별우간예전、후대량조환자적당뇨병정서(HAMA、HAMD)、사회지지수평급혈압、당화혈홍단백등진행비교.결과 간예전후비교,간예조HAMA평분교간예전、대조조유명현하강(P<0.05),HAMD평분수연몰유통계학의의,단야유일정정도강저.간예조적사회지지총분、주관지지、대지지이용도균유명현개선(P<0.05).량조환자간예전후각생물학지표차이몰유통계학의의(P>0.05).결론 채용취초해결모식대사구2형당뇨병환자실시침대성심리간예,가개선환자초필정서이급사회지지수평,단대혈당、당화혈홍단백등생물학지표몰유명현개변.
Objective To detect the application method and effect of solution focused approach in psychological intervention for patients with diabetes mellitus. Methods A total of 120 patients with diabetes mellitus in community were randomly divided into observation group and control group, with 60 cases in each group. The patients in the control group were subjected to general supportive psychotherapy while their counterparts in the observation group were received solution focused psychotherapy according to the 5 steps of the solution focused approach. Patients' blood glucose, serum lipid, glycosylated hemoglobin, and blood pressure in both groups were investigated before and after psychological intervention. Results There were significant differences in the scores of HAMA, subjective support and utilization of support between two groups (P < 0.05 for all) . Other indicators of the two groups were no significant difference. Conclusions The solution focused approach comes into good effect when appling in psychotherapy for patients with type-2 diabetes mellitus. Psychological intervention can improve the patients' emotional and social support level.
