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团体认知行为干预对2型糖尿病病人积极度及自我管理行为的影响
引用本文:钱仲华,屠云,钱唯韵,王龙. 团体认知行为干预对2型糖尿病病人积极度及自我管理行为的影响[J]. 全科护理, 2016, 0(7): 649-651. DOI: 10.3969/j.issn.1674-4748.2016.07.001
作者姓名:钱仲华  屠云  钱唯韵  王龙
作者单位:苏州大学附属第三人民医院(常州市第一人民医院),213003
基金项目:国家自然科学基金青年项目(81300687。)
摘    要:[目的]探讨团体认知行为干预对2型糖尿病病人积极度及自我管理行为的影响。[方法]采用糖尿病病人积极度量表(PAM)和糖尿病自我管理行为量表(DSCS)对80例2型糖尿病病人进行问卷调查,并监测血糖及糖化血红蛋白水平。[结果]通过团体认知行为干预,2型糖尿病病人的积极度得分、自我管理能力得分提高,空腹血糖、餐后2h血糖及糖化血红蛋白水平下降。[结论]团体认知行为干预通过提高2型糖尿病病人对治疗的积极度,提高病人自我管理能力,从而有利于控制血糖。

关 键 词:2 型糖尿病  团体认知行为干预  病人积极度  自我管理行为

The influence of group cognitive behavioral intervention on the activation and self management behaviors in pa-tients with type 2 diabetes
Abstract:Objective:To investigate the influence of group cognitive behavioral intervention on the activation and self management behaviors in patients with type 2 diabetes.Methods:Eighty patients with type 2 diabetes were questionnaired by Patient Activation Measure (PAM)and Diabetes Self Care Scale (DSCS).The levels of blood glucose and glycosylated hemoglobin were observed.Results:After intervention,the scores of PAM and DSCS in patients with type 2 diabetic increased while the levels of fasting blood glucose,postprandial 2 h glucose and glycated hemoglobin decreased.Conclusion:Group cognitive behavioral intervention can increase the degree of activation and improve the self management skills in patients with type 2 diabetes,which will help to control blood sugar.
Keywords:type 2 diabetes  group cognitive behavioral intervention  patient activation  self management be-haviors
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