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目的探讨正念认知干预对糖尿病初诊患者治疗依从性及血糖控制情况的影响。方法选择于2015年1—9月在沈阳市第一人民医院住院的86例糖尿病初诊患者作为研究对象,按照随机数字表法将患者分为观察组和对照组,每组43例。对照组患者入院后均给予常规心理护理,观察组患者在对照组常规心理护理的基础上给予正念认知干预,观察比较两组患者出院时、出院后1个月、3个月和6个月的治疗依从性及血糖控制情况。结果出院时,两组患者的治疗依从性和血糖控制情况差异无统计学意义(P>0.05);出院后1个月、3个月和6个月,观察组患者的治疗依从性和血糖控制情况明显优于对照组,差异有统计学意义(P<0.05)。结论正念认知干预能够通过提高糖尿病初诊患者心理压力的管理能力,达到提高治疗依从性和血糖控制的目的,可供临床推广应用。
Objective To explore the influence of mindfulness intervention on treatment adherence and blood sugar control in newly diagnosed patients with diabetes mellitus. Methods From January to September 2015, 86 cases of newly diagnosed diabetic patients hospitalized in Shenyang First People’s Hospital were enrolled. Patients were divided into observation group and control group according to random number table method, with 43 cases in each group. Patients in the control group were given regular psychological care after admission. Patients in the observation group were given mindfulness and cognitive intervention on the basis of routine psychological nursing in the control group. The patients in the two groups were compared at discharge, 1 month, 3 months and 6 months after discharge Treatment compliance and glycemic control. Results At discharge, there was no significant difference in treatment adherence and glycemic control between the two groups (P> 0.05). Treatment compliance and blood glucose control in observation group at 1 month, 3 months and 6 months after discharge The situation was significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion Mindfulness cognitive intervention can improve clinical compliance and blood glucose control by improving the management ability of psychological pressure in patients newly diagnosed with diabetes for clinical application.