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目的探讨团体心理干预对2型糖尿病患者的空腹血糖、糖化血红蛋白水平、心理状况及生活质量的影响。方法根据研究的入组和排除标准,选择66例糖尿病患者,将他们随机分为实验组33人和对照组33人,由心理治疗师及其助手对实验组被试进行团体心理干预及社区慢病管理,对照组仅进行社区慢病管理。团体心理干预前后,对全部被试者进行生物学指标(空腹血糖、糖化血红蛋白)、心理状况(焦虑、抑郁量表)和生活质量(糖尿病患者生活质量量表)的测量。结果实验组被试的后测空腹血糖水平明显低于对照组(t=-3.763,P<0.01)。实验组被试的生活质量、生理因素、社会关系及治疗因素的后测值均低于对照组(P<0.05或P<0.01)。结论团体心理干预可以有效降低老年糖尿病患者的空腹血糖水平,改善糖尿病患者的生活质量。
Objective To investigate the effect of group psychological intervention on fasting blood glucose, glycosylated hemoglobin, psychological status and quality of life in type 2 diabetic patients. Methods According to the inclusion and exclusion criteria of the study, 66 patients with diabetes mellitus were selected and randomly divided into experimental group (33) and control group (33). Psychological therapists and their assistants conducted group psychological intervention and community slow Disease management, control group only for community chronic disease management. Before and after the group psychological intervention, all the subjects were measured biological indicators (fasting blood glucose, glycosylated hemoglobin), psychological status (anxiety, depression scale) and quality of life (quality of life of diabetic patients) measurement. Results The fasting blood glucose level of the experimental group was significantly lower than that of the control group (t = -3.763, P <0.01). The post-test values of quality of life, physiological factors, social relations and therapeutic factors in the experimental group were lower than those in the control group (P <0.05 or P <0.01). Conclusion Group psychological intervention can effectively reduce the fasting blood glucose in elderly diabetic patients and improve the quality of life in diabetic patients.