基于正念减压疗法联合强化教育对关节炎合并糖尿病患者护理效果及知晓率的影响。

The effects of mindfulness-based stress reduction therapy combined with intensive education on the effectiveness of the care and the awareness rate in patients with arthritis and diabetes.

作者信息

Chen Qinghua, Yang Guijiu, Lin Shaona, Li Minxiang, Liu Zan, Fu Yongxia, Chen Yuya

机构信息

Department of Endocrinology, The Second Affiliated Hospital of Hainan Medical University Haikou 570311, Hainan Province, China.

Area 2 of The Department of Cardiovascular Medicine, The Second Affiliated Hospital of Hainan Medical University Haikou 570311, Hainan Province, China.

出版信息

Am J Transl Res. 2021 Apr 15;13(4):3190-3197. eCollection 2021.

PMID:34017488

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8129383/

Abstract

OBJECTIVE

To explore the effect of mindfulness-based stress reduction (MBSR) therapy combined with intensive education on the effectiveness of the care and the awareness rate in patients with diabetes and arthritis.

METHODS

A total of 94 patients with diabetes and arthritis admitted to our hospital were recruited as the study cohort and randomly divided into two groups, with 47 patients in each group. Both groups underwent routine nursing interventions. The control group underwent an eight-week-long intensive education program, while the observation group was additionally cared for with MBSR for 8 weeks. The two groups were assessed using the Symptom Checklist 90 (SCL-90), the Hamilton Anxiety Scale (HAMA-14), the Hamilton Depression Scale (HAMD-17), the Simple Coping Style Questionnaire (SCSQ), the diabetes specificity quality of life scale (DSQL), and their cortisol levels and awareness/satisfaction rates.

RESULTS

The SCL-90 scores were lower in both groups after 8 weeks of nursing ( < 0.05), and the scores in the observation group were lower than the scores in the control group ( < 0.05). The observation group exhibited lower HAMA-14, HAMD-17, and negative coping scores ( < 0.05) and higher positive coping scores than the control group ( < 0.05). The DSQL scores and the cortisol levels in the observation group at 2, 4, 6, and 8 weeks after the nursing were lower than they were in the control group ( < 0.05). The satisfaction rate with the nursing methods, the nursing effectiveness, and the awareness rate with regard to regular review, knowledge of pathogenesis, and clinical manifestations in the observation group were higher than they were in the control group ( < 0.05).

CONCLUSION

MBSR therapy combined with intensive education can improve patients' symptoms, reduce their anxiety/depression, improve their coping levels, quality of life, and cortisol levels as well as their satisfaction/awareness rates in diabetic patients with arthritis.

摘要

目的

探讨基于正念减压疗法（MBSR）联合强化教育对糖尿病合并关节炎患者护理效果及知晓率的影响。

方法

选取我院收治的94例糖尿病合并关节炎患者作为研究队列，随机分为两组，每组47例。两组均接受常规护理干预。对照组接受为期8周的强化教育项目，而观察组在接受强化教育的同时还接受了8周的MBSR护理。采用症状自评量表（SCL-90）、汉密尔顿焦虑量表（HAMA-14）、汉密尔顿抑郁量表（HAMD-17）、简易应对方式问卷（SCSQ）、糖尿病特异性生活质量量表（DSQL）对两组患者进行评估，并检测其皮质醇水平及知晓率/满意度。

结果

护理8周后两组SCL-90评分均降低（<0.05），且观察组评分低于对照组（<0.05）。观察组HAMA-14、HAMD-17及消极应对评分低于对照组（<0.05），积极应对评分高于对照组（<0.05）。护理后2、4、6、8周观察组DSQL评分及皮质醇水平低于对照组（<0.05）。观察组对护理方法、护理效果的满意度及定期复查、发病机制知识、临床表现的知晓率均高于对照组（<0.05）。