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目的:探讨心理干预在2型糖尿病患者心理性胰岛素抵抗中的应用效果。方法:将240例2型糖尿病患者随机分为非胰岛素治疗组和胰岛素治疗组各120例,非胰岛素治疗组随机分为非胰岛素干预组和非胰岛素对照组各60例,非胰岛素对照组采用饮食控制和口服降糖药物治疗,非胰岛素干预组在此基础上给予心理干预;胰岛素治疗组随机分为胰岛素干预组和胰岛素对照组各60例,胰岛素对照组采用常规治疗加胰岛素治疗,胰岛素干预组在此基础上给予心理干预。结果:非胰岛素干预组干预后对注射胰岛素态度与对照组比较差异有统计学意义(P<0.01),胰岛素干预组干预后对增加注射胰岛素次数态度与对照组比较差异有统计学意义(P<0.01)。结论:将心理干预应用于2型糖尿病患者中,可使患者心理性胰岛素抵抗得到改善,提高对胰岛素治疗依从性。
Objective: To investigate the effect of psychological intervention on psychological insulin resistance in type 2 diabetic patients. Methods: A total of 240 patients with type 2 diabetes mellitus were randomly divided into non-insulin treatment group and insulin treatment group of 120 cases, non-insulin treatment group were randomly divided into non-insulin intervention group and non-insulin control group of 60 cases, non-insulin control group diet Control and oral hypoglycemic drug treatment, non-insulin intervention group on the basis of psychological intervention; insulin treatment group were randomly divided into insulin intervention group and insulin control group of 60 cases, the insulin control group with conventional therapy plus insulin treatment, insulin intervention group On this basis, to give psychological intervention. Results: Compared with the control group, the non-insulin intervention group had statistically significant differences in the attitude toward insulin injection compared with the control group (P <0.01), and there was significant difference between the insulin intervention group and the control group (P < 0.01). Conclusion: Applying psychological intervention in patients with type 2 diabetes can improve the patient’s psychological insulin resistance and improve the adherence to insulin therapy.