中西医结合护理 (Sep 2024)
Effect of cognitive behavior therapy on reducing the fear of hypoglycemia in patients with diabetes mellitus (认知行为疗法改善糖尿病患者低血糖恐惧的效果)
Abstract
Objective To investigate the effectiveness of cognitive-behavioral therapy (CBT) on reducing the fear of hypoglycemia in diabetic patients. Methods A total of 75 diabetic patients admitted to the Emergency Department of Taizhou Traditional Chinese Medicine Hospital between June 2022 and December 2023 were selected and divided into a control group and an observation group based on their admission sequence, consisting of 37 and 38 cases, respectively. The control group received routine care and health education, while the observation group was provided with cognitive-behavioral therapy (CBT) in addition to the standard care. The glycated hemoglobin (HbA1c) levels were measured before and four weeks after the intervention. The Fear of Hypoglycemia scale with 15 items (FH-15) and the Summary of Diabetes Self-Care Activities (SDSCA) scale were used to collect data. Results At 12 weeks after intervention, the HbA1c level of patients in the observation group was lower than that of patients in the control group (P＜0. 05); The score of FH-15 in the observation group was lower than that in the control group (P＜0. 01); The score of SDSCA in the observation group was higher than that in the control group (P＜0. 01). Conclusion Implementing cognitive-behavioral therapy for diabetic patients can reduce their fear of hypoglycemia (FOH), improve their disease self-management skills, stabilize blood glucose control. (目的 探讨认知行为疗法对糖尿病患者低血糖恐惧的干预效果。方法 选取2022年6月—2023年12月台州市中医院急诊科收治的糖尿病患者75例, 按照入院顺序分为对照组(n=37)和观察组(n=38)。对照组给予常规护理及健康教育, 观察组在对照组基础上实施认知行为疗法。分别与护理干预前、干预后8周和干预后12周检测患者糖化血红蛋白水平, 对比两组患者低血糖恐惧调查量表(FH-15)和糖尿病自我管理行为量表(SDSCA)评分。结果 护理干预后12周, 观察组糖化血红蛋白水平低于对照组, 差异有统计学意义(P＜0. 05); 干预后12周, 观察组FH-15量表评分低于对照组, 差异有统计学意义(P＜0. 01)。干预后12周, 观察组糖尿病自我管理行为量表评分高于对照组, 差异有统计学意义(P＜0. 01)。结论 对糖尿病患者实施认知行为疗法能减轻患者低血糖恐惧程度, 提升其对疾病的自我管理能力, 稳定血糖控制效果。)
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