| Objective Through the intervention study of Mindfulness-Based Stress Reduction for community type 2 diabetes patients,we explore the effect of positive psychological factors on the level of mindfulness and the positive effects of positive research on the main indicators(mindfulness level,resilience)and secondary indicators(blood sugar control,diabetes self-management behavior,quality of life)of patients with diabetes mellitus,with a view to provide a theoretical basis for developing psychological intervention programs for community-based diabetes patients.Methods This study used a quasi-experimental study design.According to inclusion criteria and exclusion criteria,convenience sampling of 96 patients with type 2 diabetes mellitus in the community health service centers of Lanyuan and Southeast University in Nanjing were recruited from July to December 2018.The samples were divided into two subgroups randomly.Intervention group(n=43)performed Mindfulness-Based Stress Reduction.The content of MBSR including introduction of MBSR and specific practice methods.While Patients in control group(n=42)only received usual diabetes health education.The duration of intervention was 8 weeks for each group and a follow-up was 2 months after intervention.Before intervention,8 weeks,and 2 months after intervention,samples'intervention effects of mindfulness level,resilience,blood glucose index,self-management behavior,quality of life was assessed by FFMQ-SF,CD-RISC,HbAlc,SDSCA,DSQL.All collected data was analyzed by SPSS software version 24.0.Chi-square test,T-test,rank sum test,Two-way ANOVA,repeated measures ANOVA were used for analysis.Results A total of 85 subjects were enrolled in the study,including 43 subjects in intervention group and 42 subjects in control group.(1)The demographic data and disease-related data between the two groups were compared:the results showed there was no significant difference(P>0.05),which indicated the comparability of two groups.(2)The baseline data between the two groups were compared:the results showed there was no significant difference in the HbAlc,mindfulness level score,resilience score,self-management behavior and quality of life score(P>0.05).Baseline data was consistent between the two groups.(3)The mindfulness level between the two groups were compared,1)within the group:?The experimental group was significantly different after the intervention for 8 weeks,the FFMQ-SF total score and the three dimensions of observing,describing,acting with awareness were significantly different(P<0.05).2 months after the intervention,compared with the pre-intervention and the intervention for 8 weeks,the FFMQ-SF total score and the three dimensions of describing,acting with awareness,no judging were significantly different(P<0.05).?There was no significant difference in the total scores of FFMQ-SF and the scores of each dimension at 3 time points in the control group(P>0.05).2)The FFMQ-SF total scores and the scores of each dimension were compared between the experimental group and the control group at three different time points.At 8 weeks and 2 months after the intervention,the results showed there was no significant difference in the observing dimension scores between the two groups(P>0.05),the total score of FFMQ-SF,the dimensions'scores of describing,acting with awareness,no judging and no acting were statistically significant(P<0.05).(4)The resilience between the two groups were compared,1)within the group:?The experimental group was significantly different after the intervention for 8 weeks,the CD-RISC total score and optimism dimension scores were significantly different(P<0.05).2 months after the intervention,compared with the pre-intervention and the intervention for 8 weeks,the CD-RISC total score and the two dimensions of toughness and optimism were significantly different(P<0.05).?There was no significant difference in the total scores of CD-RISC and the scores of each dimension at 3 time points in the control group(P>0.05).2)Comparing the groups,Comparison of CD-RISC total scores and scores of each dimension at three different time points in the experimental group and the control group were compared between groups,the results showed there were statistical differences between the two groups in the total score of CD-RISC and the dimensions'scores of toughness,self-reliance and optimism at 8 weeks and 2 months after the intervention(P<0.05).(5)The blood glucose control status between the two groups were compared,1)within the group:?After 8-weeks intervention and 2 months after the intervention compared with the pre-intervention,HbA1c were significantly different(P<0.05).After 8-weeks intervention compared with 2 months after the intervention,HbAlc were significantly different(P<0.05).?There was no significant difference in the total scores of HbAlc at 3 time points in the control group(P>0.05).2)Comparing the groups,HbA 1 c of the experimental group and the control group were compared at three different time points,before intervention and 8 weeks,there were significant differences in HbAlc between the two groups(P<0.05);2 months after the intervention,the results showed there was no significant difference in HbAlc between the two groups(P>0.05).(6)The self-management behavior between the two groups were compared,1)within the group:?After 8-weeks intervention and 2 months after the intervention compared with the pre-intervention,the scores of SDSCA and the two dimensions of diet management and motion management were significantly different(P<O.05).After 8-weeks intervention compared with 2 months after the intervention,the scores of SDSCA and the two dimensions of diet management and motion management were significantly different(P<0.05).?There was no significant difference in the scores of SDSCA and the scores of each dimension at each time point(P>0.05).2)Comparing between groups,the SDSCA total scores and the scores of each dimension were compared between the experimental group and the control group at three different time points,at 8 weeks and 2 months after the intervention,the results showed there was no significant difference in the dimension scores of self-glycemic monitoring,medication compliance,and foot care between the two groups(P>0.05),the total score of SDSCA the dimensions' scores of diet management and motion management were statistically significant(P<0.05).(7)The quality of life between the two groups were compared,1)within the group:?After 8-weeks intervention and 2 months after the intervention compared with the pre-intervention,the scores of QSDL and physiological and psychology/mental dimensions were significantly different(P<0.05).After 8-weeks intervention compared with 2 months after the intervention,the scores of SDSCA and the two dimensions of diet management and motion management were significantly different(P<0.05).?There was no significant difference in the scores of QSDL and the scores of each dimension at three time points(P>0.05).2)Comparing between groups,the total scores of QSDL and the scores of each dimension were compared between the experimental group and the control group at three different time points,at 8 weeks and 2 months after the intervention,the results showed there was no significant difference in the dimension scores of social relationship and treatment between the two groups(P>0.05),the total score of DSQL,the dimensions'scores of physiological and psychology/mental were statistically significant(P<0.05).Conclusion(1)MBSR intervention can promote mindfulness level and resilience in patients with type 2 diabetes patients in the community.(2)MBSR intervention can can effectively improve the short-term glycemic control,self-management behavior and quality of life in patients with type 2 diabetes patients in the community while promoting the development of positive psychological factors in patients. |
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