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利雅得2型糖尿病患者数字心理健康干预对心理健康和血糖控制的短期影响

Short-Term Impact of Digital Mental Health Interventions on Psychological Well-Being and Blood Sugar Control in Type 2 Diabetes Patients in Riyadh.

作者信息

Alodhialah Abdulaziz M, Almutairi Ashwaq A, Almutairi Mohammed

机构信息

Department of Medical Surgical Nursing, College of Nursing, King Saud University, Riyadh 11421, Saudi Arabia.

School of Nursing & Midwifery, Monash University, Melbourne, VIC 3004, Australia.

出版信息

Healthcare (Basel). 2024 Nov 13;12(22):2257. doi: 10.3390/healthcare12222257.

Abstract

BACKGROUND

Type 2 diabetes (T2D) management is complicated by psychological factors, yet mental health interventions are not routinely integrated into diabetes care. This study investigated the impact of a digital mental health intervention on psychological well-being and glycemic control in T2D patients.

METHODS

A quasi-experimental study was conducted with 120 T2D patients divided into intervention ( = 60) and control ( = 60) groups. The intervention group received a one-month digital mental health intervention alongside standard care. Psychological well-being (PHQ-9, GAD-7, and DDS) and glycemic control (HbA1c) were assessed at baseline and post-intervention.

RESULTS

The intervention group showed significant improvements in HbA1c levels (-0.5%, = 0.032), PHQ-9 (-3.1, = 0.001), GAD-7 (-2.8, = 0.006), and DDS (-7.7, = 0.012) scores compared to the control group. Strong correlations were observed between psychological improvements and HbA1c reductions. Higher engagement with the digital platform was associated with greater improvements in both psychological and glycemic outcomes.

CONCLUSIONS

Integrating digital mental health interventions into T2D care can significantly improve both psychological well-being and glycemic control. These findings support a more holistic approach to diabetes management that addresses both mental and physical health aspects.

摘要

背景

2型糖尿病(T2D)的管理因心理因素而变得复杂,然而心理健康干预措施并未常规纳入糖尿病护理中。本研究调查了数字心理健康干预对T2D患者心理健康和血糖控制的影响。

方法

对120名T2D患者进行了一项准实验研究,将其分为干预组(n = 60)和对照组(n = 60)。干预组在接受标准护理的同时接受为期一个月的数字心理健康干预。在基线和干预后评估心理健康状况(PHQ-9、GAD-7和DDS)和血糖控制情况(HbA1c)。

结果

与对照组相比,干预组的HbA1c水平(-0.5%,P = 0.032)、PHQ-9(-3.1,P = 0.001)、GAD-7(-2.8,P = 0.006)和DDS(-7.7,P = 0.012)得分有显著改善。观察到心理改善与HbA1c降低之间存在强相关性。对数字平台的更高参与度与心理和血糖结果的更大改善相关。

结论

将数字心理健康干预纳入T2D护理可显著改善心理健康和血糖控制。这些发现支持一种更全面的糖尿病管理方法,该方法兼顾心理和身体健康方面。

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