Group Cognitive-Behavioral Interventions In Type â…¡ Diabetes Care

Objective：Group cognitive behavioral intervention in patients with type Ⅱ diabetes inpatient care,understand their anxiety, depression and mood affect the level of blood glucose levels in patients with Ⅱdiabetes inpatient.Mathods：80cases of hospitalized patients with type Ⅱ diabetes, study comes from a city hospitalsof diabetes from November2010to June2011. Inclusion criteria were:①comply with WHO1999diagnostic criteria for diabetes was first diagnosed with type Ⅱ diabetes②need insulin therapy③primary school and above education④mental illness, unconsciousness, cognitive impairment the⑤exclude ketoacidosis, severe cardiopulmonary disease, other endocrine system disorders, liver and kidneyfunction normal to⑥volunteer study. Randomized manner, the experimental group and control group of40people. The two groups of patients in age, gender, marital status, educational level, occupationaldifferences in statistical significance (P>0.05). The control group for the routine care of diabetic subjectsin the experimental group on the basis of routine care, increase group cognitive behavioral intervention.Group cognitive-behavioral intervention, including the contents:①group cognitive behavioral therapy: forpatients to master the basic knowledge of diabetes care, Notes Notes and insulin injections in the lives ofpeople with diabetes, learning to take active countermeasures to treat unhealthy living events and toimprove the negative emotion.②diet and exercise therapy: collective teach patients how to conduct ascientific diet and scientific development of the recipes.③bio-feedback therapy: patients in thebiofeedback instrument under the guidance of relaxation training. Admission, the patients were randomized to assess the two groups of patients with the general information questionnaire, SAS, SDS, blood glucoseand glycosylated hemoglobin values, respectively. At discharge, respectively, two groups of patientsthrough the SAS and SDS to evaluate and record the blood glucose value, three months after re-record thevalue of glycosylated hemoglobin. The raw data entered into the computer, using SPSS13.0statisticaldescription and analysis, anxiety, depression, blood glucose, glycosylated hemoglobin value of the dataanalysis using the t test.Result：①before and after the intervention the experimental group and control group patients withanxiety and depression in the experimental group55%of patients suffer from anxiety before theintervention, only30%of patients after the intervention of anxiety; the control group before theintervention57.5%of patients suffer from anxiety, but60%of patients after the intervention of anxiety;test group before the intervention,50%of patients with depression, only35%of patients after theintervention of depression;60%of patients in the control group before the interventiondepression, but62.5%of patients after the intervention of depression.②the two groups before and after intervention inpatients with anxiety and depression and blood sugar, glycosylated hemoglobin value of two independentsamples t-test, before the intervention the experimental group and control group, anxiety, depression, bloodglucose, glycosylated hemoglobin values statistically significant (P>0.05), differences in the experimentalgroup and control group, anxiety, depression, blood glucose, glycosylated hemoglobin values afterintervention were statistically significant (P <0.05).③the two groups before and after the intervention ofanxiety and depression, and blood glucose, glycosylated hemoglobin value for two independent samplest-test, the experimental group before and after the intervention of anxiety and depression, blood glucose,glycosylated hemoglobin values of the differences were statistically significant (P <0.05). Control group before and after the intervention of anxiety, depression, the value of the difference was no significantdifference (P>0.05), glucose, glycosylated hemoglobin is worth more statistically significant (P <0.05).④The difference between the test group before and after the intervention and control group, blood glucose,glycosylated hemoglobin of two independent samples t-test, the difference was statistically significant (P<0.05).Conclusion：①Group cognitive behavioral intervention can improve the clinical efficacy, reduceblood sugar, glycosylated hemoglobin, and help patients to control their own level of glucosemetabolism.②Group cognitive-behavioral interventions can reduce the patient’s anxiety, depression andother negative emotions.③Group cognitive behavioral intervention can improve the qualityof life ofpatients with type Ⅱ diabetes.