摘要
目的探讨基于Cox健康行为互动模式的心理干预对2型糖尿病患者疾病不确定感、自我表露状况及应对方式的影响。方法将88例2型糖尿病患者按抛币法随机间分为研究组和对照组,各44例。两组均给予常规干预,研究组在此基础上给予基于Cox健康行为互动模式的心理干预,干预6个月。干预前后检测血糖(空腹血糖、糖化血红蛋白及餐后2 h血糖)水平,采用疾病不确定感量表评估疾病不确定感,采用医学应对方式问卷评估患者的应对方式,采用痛苦表露指数量表评估自我表露状况。结果干预后两组空腹血糖、糖化血红蛋白及餐后2 h血糖水平均较干预前显著降低(P<0.01),但两组间比较差异无统计学意义(P>0.05)。干预后两组疾病不确定感程度较干预前显著改善(P<0.01),研究组疾病不确定感显著优于对照组(P<0.05)。干预后两组医学应对方式问卷的屈服、回避评分显著低于干预前(P<0.01),面对评分显著高于干预前(P<0.01),研究组显著优于对照组(P<0.01)。干预后两组自我表露状况较干预前显著改善(P<0.01),研究组自我表露状况显著优于对照组(P<0.01)。结论基于Cox健康行为互动模式的心理干预能有效改善2型糖尿病患者的疾病不确定感及应对方式,提高其自我表露水平,有效促进其心身健康发展。
Objective To explore the influences of psychological intervention based on the Cox Interactive Health Behavior Model(IMCHB)on disease uncertainty,self-disclosure and coping styles of patients with type 2 diabetes mellitus(T2DM).Methods A total of 88 T2DM patients were assigned to research and control group(n=44)according to hospital stays.Both groups received routine interventions,on this basis psychological interventions based on the IMCHB were given to research group for 6 months.Before and after intervention blood sugar(fasting plasma glucose[FPG],glycosylated hemoglobin[HbA1c]and 2 hour postprandial blood glucose[2 hPBG])were detected;patients’disease uncertainty,self-disclosure and coping styles were assessed using the Mishel Uncertainty in Illness Scale(MUIS),Medical Coping Modes Questionnaire(MCMQ),Distress Disclosure Index(DDI).Results After intervention serum FPG,HbA1c,and 2 hPBG in both groups lowered more significantly compared with pre-intervention(P<0.01),but intergroup differences had no statistical significance(P>0.05).Disease uncertainty was significantly better in research than in control group(P<0.05).After intervention yield and avoidance scores were significantly lower in both groups compared with pre-intervention(P<0.01)and face significantly higher(P<0.01),which better in research than in control group(P<0.01).The self-disclosure status was better in in research than in control group(P<0.01).Conclusion Psychological intervention based on the IMCHB model could effectively improve disease uncertainty and coping style of T2DM patients,increase self-disclosure level,and promote psychosomatic health development effectively.
作者
叶红丽
孙天格
刘文立
李晓蕾
李琳
李肖静
Ye Hongli;Sun Tiange;Liu Wenli;Li Xiaolei;Li Lin;Li Xiaojing(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2023年第2期67-72,共6页
Journal of Clinical Psychosomatic Diseases
