中国临床心理学杂志

健康教育与运动干预对2型糖尿病伴发焦虑的效果评价

作者：王智玉¹ 肖晶² 褚松龄³

单位：1 首都师范大学社区卫生服务中心北京 100048
2 北京市学习与认知重点实验室首都师范大学教育学院心理系北京 100089
3 北京大学第一附属医院中西医结合科北京 100034

分类号：R395.5

出版年,卷(期):页码：2012,20(2):275-278

摘要：

目的:探讨健康教育与运动干预对2型糖尿病伴发焦虑患者在焦虑、糖代谢及主观幸福感方面的影响。方法:采用特质焦虑量表(TAI)、纽芬兰纪念大学主观幸福感量表(MUNSH)对120例2型糖尿病伴发焦虑患者进行测评,并随机分成对照组、健康教育组、运动干预组、健康教育加运动干预组各30人。在原有药物治疗不变的情况下,对不同组别施以相应的干预方式。结果:3个月后,对照组治疗前后各项指标无明显变化;健康教育组TAI水平显著下降;运动干预组糖化血红蛋白(HbA1c)水平下降明显;健康教育合并运动干预组TAI、HbA1c水平显著下降;MUN-SH水平显著提高。结论:健康教育可以明显降低焦虑程度,运动干预可明显改善糖代谢,健康教育与运动干预共用可同时改善焦虑及糖代谢,并提高患者的主观幸福感。

ObjectiveObjective: To explore the influence of health education and physical activity intervention on anxiety, sugarmetabolism and subjective well -being in patients with type 2 diabetes associated with anxiety. Methods: GlycatedHemoglobin(HbA1c), Trait Anxiety Inventory(TAI) and Memorial University of Newfoundland Scale of Happiness(MUNSH)were used to evaluate the condition of 120 patients with type 2 diabetes associated with anxiety. The patients participatedin the study were randomly divided into health education group, physical activity intervention group, health education plusphysical activity intervention group and control group, with 30 cases in each group. For all patients, the original drugbased therapeutic schedule maintained the same; and different interventions were given to various group. Results: After 3months, the TAI score of patients in health education group obviously decreased; the HbA1c level of patients in physicalactivity intervention group also decreased; the health education plus physical activity intervention group was observed thatall three indicators(HbA1c level, TAI score, MUNSH score) were obviously improved. As for the control group, the indica tors were not changed before and after the study. Conclusion: Health education can obviously release anxiety; physical ac -tivity intervention can obviously improve sugar metabolism; health education plus physical activity intervention can releaseanxiety, improve sugar metabolism and enhance subjective well-being in patients with type 2 diabetes associated with anx iety, so it has the best effect and is worth popularizing in the community.

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