摘要
目的 探讨基于情绪ABC理论的外化叙事心理干预对老年2型糖尿病(T2DM)患者心里痛苦、健康行为等的影响。方法 选取2022年1~6月的60例患者设为对照组(接受常规干预),另选取2022年7~12月的60例患者设为观察组(接受基于情绪ABC理论的外化叙事心理干预),观察4周。比较两组患者干预前后血糖水平[空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c)]、心理痛苦管理筛查工具[心理痛苦温度计(DT)、相关因素调查表(PL)]评分、健康促进生活方式量表(HPLP-Ⅱ)评分及主要不良心血管事件(MACE)发生率。结果 干预后,两组患者DT、PL评分及FPG、HbA1c、2 hPG水平均较干预前降低,且观察组低于对照组(P<0.01)。干预后,两组患者HPLP-Ⅱ的自我实现、适当营养、健康责任、运动休闲因子分均较干预前升高,且观察组高于对照组(P<0.01)。观察组患者MACE发生率低于对照组(P<0.05)。结论 基于情绪ABC理论的外化叙事心理干预可减轻老年T2DM患者的心理痛苦,增强其健康行为能力,在控制血糖、降低并发症风险方面具有重要作用。
Objective To explore the effects of externalized narrative psychological intervention(ENPI)based on the Activating event,Belief,Consequence(ABC) theory of emotion in elderly patients with type2 diabetes mellitus(T2DM).Methods Sixty patients with T2DM from Jan.to Jun.2022 were selected as control group(received routine intervention),60 ones from Jul.To Dec.2022 as observation group(did the ENPI based on ABC theory of emotion),were observed for 4 weeks.Such indexes were compared between two groups as pre-and post-intervention blood glucose levels(fasting blood glucose [FPG],2h postprandial blood glucose [2 hPG],and glycated hemoglobin A1c [HbA1c]),scores on the Distress Management Screening Measure(DMSM)(Distress Thermometer [DT] and Problem List [PL]) and Health Promoting Lifestyle Profile-Ⅱ(HPLP-Ⅱ),and the incidence of major adverse cardiovascular events(MACE).Results After intervention scores on the DT and PL as well as FPG,HbAlc and 2 hPG levels in both groups lowered compared with pre-intervention and those were lower in observation than control group(P<0.01).After intervention scores on self-actualization,proper nutrition,health responsibility,sports and leisure of the HPLP-Ⅱ in both groups elevated compared with pre-intervention and those were higher in observation than control group(P<0.01).The incidence of the MACE was lower in observation than control group(P<0.05).Conclusion The ENPI based on ABC theory of emotion can alleviate psychological distress of elderly T2DM patients and enhance their healthy behavior ability,plays an important role in controlling blood sugar and reducing the risk of complications.
作者
刘文立
孙天格
叶红丽
李天艺
Liu Wenli;Sun Tiange;Ye Hongli;Li Tianyi(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2024年第2期78-82,共5页
Journal of Clinical Psychosomatic Diseases
基金
河南省医学科技攻关计划项目(编号SBGJ202102161)。
