CAJ | 학술논문

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),对干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、坚持运动锻炼、戒烟方面的差异有统计学意义(P<0.01),按时服用降精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.
목적 탐토환자중심요법대당뇨병환자심리상황급행위적영향.방법 장60례당뇨병환자수궤분위대조조(30례)화간예조(30례),대간예조진행환자중심요법간예,간예전후용증상자평량표(SCL-90)화당뇨병환자행위평고표대량조환자심리상황화행위상태진행평정.결과 간예전량조환자재SCL-90량표각인자상득분적차이무통계학의의(P>0.05),간예후량조비교,구체화、강박、인제관계민감、활대、공포、편집、정신병성등인자균통계학의의(P<0.01);간예후량조환자재불량음식습관규정、계주、복사시간적장악급재혈당공제、견지운동단련、계연방면적차이유통계학의의(P<0.01),안시복용강정약물혹주사이도소무통계학의의(P>0.05).결론 환자중심요법대제고당뇨병환자적심리건강수평,증가기건강행위유적겁적작용.
Objective To investigate the effect of patient-centered therapy on psychology and behavior in diabetes mellitus patients.Methods Sixty diabetes mellitns 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 thetervention,somatization,obsessive-compulsive,interpersonal sensitivity,hostility,phobia,paranoia and psychosis had statistical meanings between two groups (P<0.01).There were statisfical 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.