摘要
目的：探讨心理行为干预对2型糖尿病伴睡眠障碍患者睡眠质量及自我效能感的影响。方法将80例2型糖尿病伴睡眠障碍患者采用随机数字表法将其分为对照组（40例）与干预组（40例），给予对照组常规护理，干预组在对照组的基础上进行心理行为干预，比较两组干预前后睡眠质量及自我效能感的变化，焦虑、抑郁评分变化，以及空腹血糖变化。结果干预前对照组、干预组 PSQI、GESE 评分差异无统计学意义（P ＞0．05），干预后均显著改善[（8．26±1．32）分、（29．65±3．01）分，（5．62±1．03）分、（34．24±4．15）分，t ＝15．386、10．502，28．087、14．751，均 P ＜0．05]且干预组优于对照组（t ＝9．972，5．663，均 P ＜0．05）；干预前对照组、干预组 SAS、SDS 评分差异无统计学意义（P ＞0．05），干预后上述评分均显著降低[（41．24±3．21）分、（42．52±3．01）分，（32．36±2．12）分、（34．24±4．15）分，t ＝19．674、12．550，27．589、19．546，均 P ＜0．05]，干预组显著低于对照组（t ＝14．599，10．215，均 P ＜0．05）。干预前对照组、干预组空腹血糖差异无统计学意义（P ＞0．05），干预后均显著降低[（8．76±1．06）分，（6．25±1．32）分，t ＝3．646、8．955，均 P ＜0．05]，干预组显著低于对照组（t ＝9．377，P ＜0．05）。结论心理行为干预可有效改善2型糖尿病伴睡眠障碍患者的睡眠质量，提高自我效能感，缓解紧张焦虑等不良情绪，同时降低空腹血糖。
Objective To discuss the effect of psychological and behavioral intervention on sleep quality and self efficacy in patients with type 2 diabetes mellitus complicated with sleep disorder.Methods 80 patients with type 2 diabetes mellitus complicated with sleep disorder in our hospital were divided into control group （with 40 cases） and intervention group （with 40 cases）according to the random digital table method.The control group were given routine nursing,while the intervention group were given psychological and behavioral intervention based on the control group.The changes of sleep quality and self efficacy,scores of anxiety and depression and fasting blood glucose before and after intervention were compared between the two groups.Results The differences in the scores of PSQI and GESE were not statistically significant between the control group and the intervention group before intervention （P 〉0.05）,which were significantly improved after intervention[（8.26 ±1.32）points,（29.65 ±3.01）points;（5.62 ± 1.03）points,（34.24 ±4.15）points;t =15.386,10.502,28.087,14.751,all P 〈0.05],and the scores in the inter-vention group were better than those in the control group （t =9.972,5.663,both P 〈0.05）.There were not obvious differences in the scores of SAS and SDS between the control group and the intervention group before intervention（all P 〉0.05）,which were significantly decreased after intervention[（41.24 ±3.21）points,（42.52 ±3.01 ）points;（32.36 ±2.12）points,（34.24 ±4.15）points;t =19.674,12.550,27.589,19.546,all P 〈0.05）],and the scores in the intervention group were significantly lower than those in the control group （t =14.599,10.215,both P 〈0.05）.There was no obvious difference in fasting blood glucose between the two groups before intervention （P 〉0.05）,which were significantly decreased after intervention[（8.76 ±1.06）mmol/L,（6.25 ±1.32）mmol/L,t =3.646,8.955,all P 〈0.05],and the level in the intervention group was significantly lower than that in the control group （t =9.377,P 〈0.05）.Conclusion The psychological and behavioral intervention can effectively improve the sleep quality of patients with type 2 diabetes mellitus complicated with sleep disorder,improve the self efficacy,and relieve anxiety and other negative emotions,then decrease the fasting blood glucose level,which has promotion value in the clinical nursing.
出处
《中国基层医药》
CAS
2016年第15期2244-2248,共5页
Chinese Journal of Primary Medicine and Pharmacy
关键词
心理行为干预
2
型糖尿病
睡眠障碍
睡眠质量
自我效能感
Psychological and behavioral intervention
Type 2 diabetes
Sleep disorder
Sleep quality
Self efficacy
