聚焦解决模式应用于2型糖尿病患者对其负性情绪及生存质量的影响

摘要

Objective To investigate the effect of focus solution mode on the negative emotion and quality of life in the patients with type 2 diabetes mellitus(T2DM).Methods Eighty-four cases of T2DM in the endocrinology department of our hospital from February 2012 to August 2015 were selected and divided into the study group and control group according to the random digits table method,42 cases in each group.The control group conducted the routine health propaganda and education mode nursing,while on this basis the study group implemented the focusing solution mode to conduct the intervention.The two groups were evaluated by the Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS) and the Diabetes Specific Quality of Life(DSQL) before intervention and at the end of second week after intervention.Then the data were recorded and the comparison was performed.Results The SAS and SDS scores before intervention had no statistical difference between the two groups(P＞0.05);the SAS and SDS scores after intervention in the study group were significantly lower than those in the control group,the difference was statistically significant (P＜0.05).The DSQL scores before and after intervention had no statistical difference between the two groups(P＞ 0.05);the scores of quality of life in the aspects of social dimension,psychological dimension,treatment dimension and physiological dimensions after intervention in the study group were lower than those in the control group,the differences were statistically significant(P＜0.05).Conclusion The focusing resolving mode used in T2DM patients can effectively improve their anxiety and depression emotions,moreover can improve their survival quality and is worth clinical further promotion and acceptance.%目的 探讨聚焦解决模式对2型糖尿病患者负性情绪及生存质量的影响.方法 选取内分泌科于2012年8月至2015年2月收治的84例2型糖尿病患者,利用随机数字表法进行分组,分别设为研究组和对照组,每组42例.其中对照组开展常规健康宣教模式,研究组则在对照组基础上实施聚焦解决模式展开干预.两组患者均于干预前及干预后第2周末接受焦虑自评量表(SAS)、抑郁自评量表(SDS)及糖尿病特异性生存质量量表(DSQL)测评,记录数据并做好对比.结果 两组患者在干预前的SAS和SDS评分差异无统计学意义(P＞0.05);干预后,研究组SAS和SDS评分均低于对照组,差异有统计学意义(P＜0.05).两组患者在干预前后的DSQL评分差异无统计学意义(P＞0.05);干预后,研究组在社会维度、心理维度、治疗维度及生理维度方面的生存质量评分均低于对照组,差异有统计学意义(P＜0.05).结论 聚焦解决模式应用于2型糖尿病患者,能有效改善其焦虑、抑郁情绪,且能提高其生存质量,值得临床进一步推广采纳.