Zarifsanaiey Nahid, Jamalian Khadijah, Bazrafcan Leila, Keshavarzy Fatemeh, Shahraki Hadi Raeisi
Department of E-learning, Virtual School, Comprehensive Center of Excellence for e-Learning in Medical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Medical Education, Virtual university of Medical Sciences, Tehran, Iran.
J Diabetes Metab Disord. 2020 Mar 2;19(1):311-317. doi: 10.1007/s40200-020-00510-7. eCollection 2020 Jun.
The present study aimed at investigating the effect of mindfulness training on the level of happiness and blood glucose in diabetic patients in Zarghan city, Iran.
This quasi-experimental study was conducted in 2018 in Fars province, Iran. 136 diabetic patients who were eligible (had diabetes for more than one year, older than 18 years, willingness to participate in the research, and reside in Zarqan city) were selected based on convenience sampling method. Next the participants were randomly divided into two groups, each comprising 68 individuals. Both of the study samples and statistical analyser were blinded to intervention group (mindfulness training) and control group (without intervention). Before and three month after the intervention the patients' levels of happiness (based on Oxford Happiness Questionnaire), fasting blood sugar (FBS) and Glycated Hemoglobin test (HbA1c) were measured.
The results indicated that after the sessions, the level of happiness in the Intervention group was significantly higher than the control group ( value <0.001). Also, the level of blood glucose and HbA1c after the sessions was significantly lower in the Intervention group compared to the control group (p value<0.001, p value = 0.004). After the intervention, there was a significant correlation between mean blood glucose levels and mean HbA1c levels in the Intervention group and their level of happiness (p value<0.01 and p value<0.001).
The findings revealed that the mindfulness-based educational intervention can increase happiness in people with diabetes and regulate their blood glucose.
本研究旨在调查正念训练对伊朗扎尔甘市糖尿病患者幸福感水平和血糖的影响。
这项准实验研究于2018年在伊朗法尔斯省进行。采用便利抽样法选取了136名符合条件的糖尿病患者（患糖尿病超过一年、年龄大于18岁、愿意参与研究且居住在扎尔甘市）。接下来，将参与者随机分为两组，每组68人。研究样本和统计分析人员均对干预组（正念训练）和对照组（无干预）不知情。在干预前和干预三个月后，测量患者的幸福感水平（基于牛津幸福感问卷）、空腹血糖（FBS）和糖化血红蛋白测试（HbA1c）。
结果表明，课程结束后，干预组的幸福感水平显著高于对照组（值<0.001）。此外，与对照组相比，干预组课程结束后的血糖水平和HbA1c水平显著更低（p值<0.001，p值 = 0.004）。干预后，干预组的平均血糖水平和平均HbA1c水平与其幸福感水平之间存在显著相关性（p值<0.01和p值<0.001）。
研究结果显示，基于正念的教育干预可以提高糖尿病患者的幸福感并调节他们的血糖。
