摘要
目的探讨短期正念行为训练与糖尿病初诊患者治疗依从性的相关性,为糖尿病初诊患者的临床护理提供理论依据。方法选取在我院内分泌科住院的糖尿病初诊患者85例,按照随机数字表法将患者随机分为观察组42例和对照组43例,对照组给予常规护理,观察组在常规护理的基础上加入正念训练。在两组患者住院期间及出院后3个月、6个月、12个月,分别采用自制糖尿病治疗依从性问卷、上海瑞金医院糖尿病中心设计的糖尿病症状控制量表CSSD70对其进行调查。结果观察组患者在住院期间及出院后3个月、6个月、12个月,其治疗依从性明显高于对照组(P值分别为0.009,0.004,0.002和<0.001),出院后观察组糖尿病控制情况优于对照组,两组患者在出院后3个月、6个月、12个月相比较,均存在统计学差异(P值分别为0.038,<0.001和<0.001)。结论正念训练可以在一定程度上提高初诊糖尿病患者的治疗依从性,且这种依从性在出院后会得到延续,值得推广应用。
Objective To study the correlation between the treatment compliance of newly diagnosed patients with diabetes and short-term mindfulness behavior training,and to provide theoretical foundation for clinical nursing of newly diagnosed patients with diabetes.Methods 85 hospitalized newly diagnosed patients with diabetes in endocrine department in our hospital were divided into intervention group 42 ceases and control group 43 cases according to the random number table.Patients in control group received routine clinical care,and the intervention group were given mindfulness training.The patients＇ diabetes treatment compliance were surveyed during hospitalization and after discharge 3,6and 12 months with diabetic symptom control scale table CSSD70 designed by Shanghai Ruijin hospital diabetes center.Results Treatment compliance for patients in intervention group during hospitalization and 3,6and 12 months after discharge were higher than that of the control group（P values were 0.009,0.004,0.002 and les than0.001respectively）.Diabetes control condition for patients in intervention group after discharge surveyed by diabetic symptom control scale table CSSD70 were superior to the control group.There were significant differences for patients after 3,6and 12 months of discharge between the two group（P values were 0.038,〈0.001 and 〈0.001respectively）.Conclusion Mindfulness training can improve treatment compliance of newly diagnosed patients with diabetes to a certain degree and such a compliance will be continued after discharge.
出处
《护士进修杂志》
2016年第5期410-413,共4页
Journal of Nurses Training
关键词
正念训练
糖尿病初诊患者
依从性
护理
Mindfulness training
Newly diagnosed patients with diabetes
Compliance
Nursing
