心理行为干预对2型糖尿病性白内障患者负性自动思维、自我接纳及社会支持的影响

目的探讨心理行为干预对2型糖尿病性白内障患者负性自动思维、自我接纳及社会支持的影响。方法将确诊为2型糖尿病并发白内障的105例患者随机分为研究组56例和对照组49例。对照组仅进行常规治疗，研究组在常规治疗的基础上，进行心理行为干预。于干预前、干预2，6周后分别进行负性自动思维问卷（ATQ）、自我接纳问卷（SAQ）、社会支持量表（SSRS）测评。并对结果进行分析。结果干预2，6周后研究组ATQ评分均显著低于对照组，差异有统计学意义（P〈0．05）；研究组从干预第2周起ATQ评分、SAQ总分及SA、SD因子评分，SSRS总分及客观支持、主观支持和对支持的利用度因子评分均低于干预前，而对照组仅在治疗第6周后才显著低于治疗前（P〈0．05）。干预2，6周后研究组SAQ总分及SA、SD因子评分均显著低于对照组，差异有统计学意义（P〈0．05）；研究组干预2，6周后SSRS总分及客观支持、主观支持和对支持的利用度因子评分均显著低于对照组，差异有统计学意义（P〈0．05）；相关分析显示研究组社会支持总分及各因子得分与ATQ得分呈显著负相关，而与SAQ总分及SA、SD因子评分呈显著正相关（P〈0．05）。结论心理行为干预能够降低2型糖尿病性白内障患者的负性自动思维水平，改善自我接纳状况，提高社会支持程度。

Effect of psychological intervention on negative automatic thoughts,self acceptance and social support for patients with type 2 diabetic cataract

Objective To explore effect of psychological intervention on negative automatic thoughts,self acceptance and social support for patients with type 2 diabetic cataract. Methods Patients with diagnosed type 2 diabetic cataract（n=105 ）were divided into the research group （56 cases）and the control group （49 cases）.The control group received routine treatment.The research group was given psychological and behavioral intervention based on routine treatment.They underwent evaluation by negative automatic thoughts questionnaire （ATQ）, self-acceptance questionnaire （SAQ） and social support rate scale （SSRS） before intervention and in the 2th and 6th weeks after intervention.The results were subsequently analyzed. Results ATQ score of the research group in the 2th and 6th weeks were lower than that of the control group （P 〈 0.05）.ATQ score,total SAQ score,score of SA and SD factors,total SSRS score and score of objective support,subjective support and utilization of support were all lower than those before intervention from the 2th week in the research group.While these happened in the control group only in the 6th week （P 〈 0.05）. Total SAQ score and score of SA and SD factor were lower than those of the control group （P 〈 0.05）. Total SSRS score and score of objective support, subjective support and utilization of support were lower than those of the control group （P 〈 0.05）. Relative analysis showed total score of social support and its factors was negatively related with ATQ score, but was positively related with SAQ score and score of SA and SD factors（P 〈 0.05）. Conclusions Psychological and behavioral intervention could reduce the negative automatic thoughts,alleviate self acceptance and increase social support degree for patients with type 2 diabetic cataract.